Elevance Health

Audit and Reimbursement Analyst

Elevance Health

Denver, CO, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Welcome to Elevance Health! We are currently seeking a highly motivated and detail-oriented Audit and Reimbursement Analyst to join our team. As an integral part of our organization, you will play a crucial role in ensuring accurate and timely reimbursement for our clients. In this position, you will be responsible for conducting audits, analyzing financial data, and providing recommendations for process improvements. If you have a strong background in healthcare reimbursement and a passion for delivering exceptional service, we encourage you to apply. Keep reading to learn more about the qualifications and skills we are looking for in the ideal candidate.

  1. Conducting Audits: The Audit and Reimbursement Analyst will be responsible for conducting audits to ensure accuracy and compliance with reimbursement policies and procedures.
  2. Analyzing Financial Data: This role will require the ability to analyze financial data and identify trends, discrepancies, and opportunities for improvement in reimbursement processes.
  3. Providing Recommendations: The Analyst will be responsible for providing recommendations for process improvements based on audit findings and financial analysis.
  4. Ensuring Timely Reimbursement: It will be the responsibility of the Analyst to ensure timely reimbursement for clients by identifying and resolving any reimbursement delays or issues.
  5. Maintaining Compliance: The Analyst will be responsible for ensuring compliance with all relevant laws, regulations, and policies related to healthcare reimbursement.
  6. Collaborating with Team Members: This position will require collaborating with other team members to gather data, share insights, and develop strategies for improving reimbursement processes.
  7. Staying Up-to-Date: The Analyst will be responsible for staying up-to-date with changes in reimbursement regulations and policies to ensure compliance and accuracy.
  8. Providing Exceptional Service: The role will require providing exceptional service to clients by addressing their reimbursement inquiries and concerns promptly and professionally.
  9. Documenting Processes: The Analyst will be responsible for documenting audit processes, findings, and recommendations for future reference and improvement.
  10. Attention to Detail: A key responsibility of the Analyst will be to pay close attention to detail to identify any discrepancies or errors in the reimbursement process.
  11. Prioritizing Workload: The role will require the ability to prioritize workload and meet deadlines in a fast-paced environment to ensure timely reimbursement for clients.
  12. Upholding Company Values: The Analyst will be expected to uphold the company's values and maintain a high level of integrity, professionalism, and ethical standards in all aspects of their work.
Where is this job?
This job is located at Denver, CO, USA
Job Qualifications
  • Strong Analytical And Problem-Solving Skills

  • Bachelor's Degree In Accounting, Finance, Or Related Field

  • Minimum Of 2 Years Experience In Healthcare Auditing And Reimbursement

  • Knowledge Of Medicare And Medicaid Reimbursement Regulations And Guidelines

  • Excellent Communication And Interpersonal Skills For Collaborating With Various Departments And External Auditors

Required Skills
  • Financial Analysis

  • Communication Skills

  • Data Analysis

  • Problem Solving

  • Risk assessment

  • Detail-oriented

  • Compliance review

  • Documentation review

  • Audit Preparation

  • Coding Proficiency

  • Reimbursement Knowledge

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Audit and Reimbursement Analyst in Denver, CO, USA is $54,000 to $80,000 per year. This can vary depending on the specific company, experience level, and qualifications of the individual. Some companies may offer higher salaries or additional benefits such as bonuses or stock options. It is important to research the specific job market and negotiate for a fair and competitive salary based on your skills and experience.

Additional Information
Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedFebruary 6th, 2024
Apply BeforeMay 10th, 2026
This job posting is from a verified source. 
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About Elevance Health

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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