Claims Representative I (Health & Dental) – Health & Dental Claims

Job Description

Claims Representative I (Latham, NY) | Elevance Health

The Tone:
This is a full-time hybrid role at Elevance Health, primarily virtual but requiring initial on-site presence in Latham, NY. Elevance Health is a Fortune 25 health company dedicated to improving lives and communities by making healthcare simpler. This role is fundamental to accurately coding and processing health and dental claims, ensuring members receive eligible payments and supporting the company’s commitment to efficient healthcare delivery. The position offers virtual full-time work with the exception of required in-person training, promoting flexibility and work-life integration while ensuring essential onboarding.

The TL;DR
• Role: Full Time
• Type: Full-time
• Location: Hybrid, Latham, NY
• Pay: $16.24/hr to $24.36/hr
• Mission: Successfully codes and processes health and dental claims forms to ensure accurate and timely payments for services.
• Tech Stack: PC, database system, word processing, spreadsheets

What You’ll Actually Do
• Complete required basic training successfully over a 17-week period, including two initial on-site days.
• Perform basic job functions with the assistance of co-workers, specialists, and managers on non-basic issues.
• Work under direct supervision, relying on others for instruction, guidance, and direction throughout daily tasks.
• Code and process claims forms for payment, ensuring all necessary information is supplied before eligible payments are made.
• Research and analyze various claims issues to resolve discrepancies and facilitate accurate processing.

The Must-Haves
• Background: Entry-level career with a HS diploma or equivalent education.
• Experience: Related experience providing a foundational background for claims processing.
• Skills: Ability to learn activities and tasks associated with the role, pass a pre-employment test battery, and fulfill 100% attendance for training.
• Bonus: Good oral and written communication skills, previous experience using a PC, database system, and related software like word processing and spreadsheets.