Credentialing Network Specialist I - Andover, MA - PS26589

Anthem, Inc. - Andover, MA

Full-time
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.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Credentialing Network Specialist I

Location: 300 Brickstone Square, 8th Fl., Andover, MA 01810

Responsible for accurate and timely maintenance of provider information on claims and provider databases.

Primary duties may include, but are not limited to:
Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.
Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

Qualifications
Requires a H.S. diploma or equivalent;
1-3 years? experience in claims processing, provider relations, or credentialing preferred;
Basic PC office software experience;
Advanced oral and written communication skills;
Or, any combination of education and experience, which would provide an equivalent background.
Knowledge of insurance benefits and the accreditation process is beneficial;
Extensive knowledge of credentialing policies and procedures in accordance with state and federal accreditation standards also a plus;
Strong PC skills and MS Office (Word, Excel, Outlook, Access) proficiency preferred.
Strong attention to detail required
Phone skills/etiquette required
WGS and WMS systems experience preferred

Anthem, Inc. is ranked as one of America?s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.