Audit and Reimbursement Analyst

Are you a detail-oriented and analytical individual with a passion for healthcare finance? Do you have experience in conducting audits and managing reimbursement processes? If so, Elevance Health is seeking a highly motivated Audit and Reimbursement Analyst to join our dynamic team. In this role, you will play a critical role in ensuring the accuracy and compliance of our financial operations. We are looking for someone who is dedicated, organized, and has a strong understanding of healthcare reimbursement policies and procedures. If this sounds like you, we would love to hear from you!

1. Conduct financial audits on a regular basis to ensure accuracy and compliance with healthcare reimbursement policies and procedures.
2. Review and analyze financial data to identify discrepancies and potential areas for improvement.
3. Develop and implement strategies to optimize reimbursement processes and improve financial operations.
4. Collaborate with cross-functional teams to gather necessary information and ensure timely completion of audits.
5. Maintain up-to-date knowledge of healthcare laws, regulations, and policies related to reimbursement.
6. Communicate audit findings and recommendations to relevant stakeholders in a clear and concise manner.
7. Assist in the development and implementation of training programs for healthcare finance and reimbursement.
8. Monitor and track reimbursement trends and patterns to identify potential areas of risk.
9. Prepare reports and presentations on audit findings and recommendations for management and other stakeholders.
10. Ensure compliance with internal policies and procedures as well as external regulatory requirements.
11. Provide support and guidance to other team members on reimbursement processes and policies.
12. Continuously evaluate and improve audit processes and procedures to ensure efficiency and effectiveness.
13. Serve as a subject matter expert on healthcare finance and reimbursement for the organization.
14. Maintain accurate and organized documentation of audit processes and findings.
15. Collaborate with external auditors and regulatory agencies as needed.

According to JobzMall, the average salary range for a Audit and Reimbursement Analyst in Atlanta, GA, USA is between $53,000 and $81,000 per year. This may vary depending on factors such as experience, qualifications, and the specific company or organization hiring for the position.

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.