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

Posted in Other about 18 hours ago.





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.




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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