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Anthem, Inc. Verification OHI Specialist in Reston, Virginia


SHIFT: Day Job

SCHEDULE: 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 care companies and a Fortune Top 50 Company.

Responsible for researching and investigating other coverage for GBD Medicaid membership and for ensuring members Other Health Insurance (OHI) information investigation results are applied accurately into appropriate systems for claims coordination and recovery efforts.

Primary duties may include, but are not limited to:

  • Conduct on-line or phone research to verify members coverage with other carriers.

  • Maintain knowledge of state or carrier specific processing rules.

  • Collaborate with multiple internal departments to verify OHI leads and analyzes requests in combination with current system data to ensure record is updated accurately.

  • Interface with members via external mailings to obtain needed information.


  • Requires a high school diploma; 1 year of claim or customer service experience; or any combination of education and experience, which would provide an equivalent background. AA/AS preferred.

    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 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.

    REQNUMBER: PS50765