Claims Representative I (Health & Dental) at Elevance Health in Tampa, Florida

Job Description:

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.

• Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.

• 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.