Job Number : 36090
Description
Anthem Blue Cross and Blue Shield is a proud member of the WellPoint family of companies. At Anthem, we are dedicated to our mission of improving the health of the people we serve. We believe the best health care coverage can actually help people stay healthy.
Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
Tracks, trends, analyzes, troubleshoots and resolves membership and billing issues specifically related to improving delinquency trends. Primary duties may include, but are not limited to: analyzes the monthly finance delinquency report; makes independent recommendations to finance regarding groups that should be cancelled; analyzes claims recycling file issues and makes recommendations regarding process improvements; trains membership and billing staff regarding procedures for making delinquency calls and ensures that errors are identified and corrected; develops workflow improvements related to membership and billing after analyzing data trends; implements delinquency related membership and billing improvements; represents membership and billing as the subject management expert on cross functional teams and coordinates the post-termination process.
Qualifications
Requires H.S. diploma; 5 years related membership and billing experience and 2-3 years of additional relevant experience (business analyst, sales, etc); understanding of insurance profitability and claims systems;or any combination of education and experience, which would provide an equivalent background.