Job Information
Elevance Health Claims Rep I (Health & Dental) (US) in COLUMBUS, Georgia
Position Title: The Claims Representative I (Health and Dental)
Location: This position will work in an on-site model . The ideal candidate will live within 50 miles of 6087 Technology Pkwy, Columbus, GA 31820 .
This position will have on-site training and requires you to be in the Columbus, GA office.
Hours: 8 am-4:30 pm EST during training and 8 am - 4:30 pm EST after training.
The candidates must have 100% attendance during the first 9 weeks of training.
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 are preferred.
Previous experience using PC, and related software; and working knowledge of web browsers (Chrome, MS Edge), Microsoft Teams, and Microsoft Office tools is preferred.
Relevant to claims processing; comfortability with mathematical operations such as percentages, multiplication, and other calculations is preferred.
Understanding of fundamental medical terms and concepts is preferred.
The ability to maintain orderly records, documents, and information for efficient claims processing and retrieval is preferred.
Adaptability and willingness to embrace changes in procedures, policies, or technology are preferred.
A goal-oriented and proactive approach to problem-solving and achieving results is preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Elevance Health
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