Anthem, Inc. Network Management Representative II in Harrisonburg, Virginia
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
A Network Management Representative II provides comprehensive services to the provider community through researching more complex provider issues.
Primary duties may include, but are not limited to:
Serves as point of contact for other internal departments regarding provider issues that may impact provider satisfaction.
Researches and resolves the more complex provider issues for prompt resolution.
Coordinates prompt resolution through direct contact with providers
Provides assistance with policy interpretation. Researches, analyzes and recommends resolution of provider disputes, issues with billing, and other practices. Assists providers with provider demographic changes as appropriate.
Responds to provider issues related to billing, pricing, policy, systems and reimbursements.
Determines if providers were paid according to contracted terms.
H.S. diploma and a minimum of 3 years of customer service experience; one year experience as a Network Representative; or any combination of education and experience, which would provide an equivalent background.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.