Claims Representative I (Health and Dental)
Location: Remote, within 50 miles of an Elevance Health pulse point in Tampa or Miami, FL.
Hours: An 8-hour shift, Monday - Friday, between the hours of 8 am - 5 pm EST.
The Claims Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.
How you will make an impact:
- Learning the activities/tasks associated with his/her role.
- Works under direct supervision.
- Relies on others for instruction, guidance, and direction.
- Work is reviewed for technical accuracy and soundness.
- Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
- Researches and analyzes claims issues.
Minimum Requirements:
- Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
- Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
- Previous experience with Medical Claims forms is strongly preferred.
- Medical coding experience is a plus.
- Experience in a medical office, billing, and/or a high volume call-center is preferred.
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