Anthem, Inc. Provider Data Intake Analyst I in Indianapolis, Indiana
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 Provider Data Intake Analyst is Responsible for ensuring provider data submissions to production are complete and accurate. This impacts critical downstream functions such as provider directory, state network adequacy reports, and provider claims payments.
Primary duties may include, but are not limited to:
Ensures all required data elements and documentation are present.
Ensures license numbers are valid and active. Adds PRPR ID to submissions.
Validates provider contract for TIN.
Verifies provider specialty against degree held.
Verifies provider taxonomy against taxonomy website.
Verifies OIG/SAM/State sanctions.
Normalizes providers address against USPS.
Works with provider to obtain/clarify information when needed.
Reconciles/validates submission against provider source system.
Transfers submission to standard roster template, if applicable.
Submits Intake ticket (PLM, ePact, Service Form) to production team.
Participates in testing and developing desk levels for new technology.
3-5 years’ experience with provider data; 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.