SCA Quality Auditor I

Anthem Inc.
Indianapolis, Indiana, United States
USD 16.11 per hour
16 Sep 2020
18 Sep 2020
Job role
Your Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem,Inc. and one of the largest Medicare contractors in the country, it's a powerful combination. It's the foundation upon which we're creating greater access to care forour members, greater value for our customers and greater health for ourcommunities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovativework that means more to you and those we serve.

The SCA Quality Auditor I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. This position will support the Appeals unit.

Primary duties may include, but are not limited to:

  • Identifies documents and reports any transaction errors in a timely manner to ensure prompt resolution.
  • Applies expert knowledge in most areas.
  • Able to perform simple functions; works under general direction.
  • Examines and evaluates on a prepayment basis the accuracy of transactions processed by reviewing policy, procedure and manual input in accordance with guidelines.
  • Tracks and trends audit results, providing feedback to management.
  • Generates monthly reports of audit findings, supports clients with issued identified, develops reports to assist management with information requested.
  • Produces other ad hoc reports as requested by internal and external clients.

  • Requires H.S.diploma or equivalent; 9 months to 1 year related experience; or anycombination of education and experience, which would provide an equivalentbackground.
  • Medicare working knowledge experience is required
  • Medicare Part B working knowledge is highlypreferred
  • Quality assurance experience highly preferred
  • Proficient with computer skills including MSOffice

Non-negotiable hourly rate for this positionby location.

Baltimore,MD $16.00

Denison, TX $16.00

Harrisburg,PA $16.11

Hingham, MA $17.68

Indianapolis,IN $16.12

Louisville,KY $16.00

Manchester,NH $16.00

SouthPortland, ME $16.00

Syracuse, NY $16.00

Anthem, Inc. is ranked as one ofAmerica's Most Admired Companies among health insurers by Fortune magazine andis a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn moreabout our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.