Hybrid Provider Outreach Analyst II – Claims & Recovery

The Elevance Health Companies, Inc.; Indianapolis (IN); Hybride; USD 65 000 - 90 000; Plein temps

Résumé du poste

Elevance Health in Indianapolis, IN, is seeking a Provider Outreach Business Analyst II to verify provider billing, validate service delivery, and identify recovery opportunities. This role emphasizes outbound calls, claim data review using CPT/HCPCS/ ICD-10, and collaboration with internal teams to ensure accurate recovery decisions and compliant processes.

The ideal candidate will have a BA/BS and 3+ years of business analysis experience, strong attention to detail, and proficiency with

Qualifications

• BA/BS and minimum of 3 years related business analysis experience.
• Experience with healthcare claims analysis and payment integrity preferred.
• Familiarity with Facets, Macess, and Microsoft Office preferred.

Responsabilités

• Conduct outbound provider calls to verify services and payments.
• Review claim details to determine validity and documented outcomes.
• Analyze claim data for recovery eligibility and document findings.
• Ensure compliance with SLAs and internal policies.

Connaissances

Healthcare claims analysis

Analytical thinking

SQL

Tableau

Stakeholder communication

Formation

BA/BS degree

Outils

Facets

Macess

Microsoft Office

Description du poste

Elevance Health in Indianapolis, IN, is seeking a Provider Outreach Business Analyst II to verify provider billing, validate service delivery, and identify recovery opportunities. This role emphasizes outbound calls, claim data review using CPT/HCPCS/ ICD-10, and collaboration with internal teams to ensure accurate recovery decisions and compliant processes.

The ideal candidate will have a BA/BS and 3+ years of business analysis experience, strong attention to detail, and proficiency with