Claims Representative I
3 weeks ago
Claims Representative IThis role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. 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:Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.Researches and analyzes claims issues.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.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 & Experiences:Experience working in a production and quality driven role preferred.Experience in healthcare and/or health insurance industry preferred.Preferred candidates will have strong clerical skills, including computer literacy and the ability to navigate multiple platforms efficiently.Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.Location: New YorkIn addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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Claims Representative I
3 weeks ago
Mason, United States KY Staffing Full timeClaims Representative IThis role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on...
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Utilization Management Representative I
2 days ago
Mason, Ohio, United States Elevance Health Full time $16 - $25Anticipated End Date: Position Title:Utilization Management Representative I Job Description:Utilization Management Representative I Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports...
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Claims Processor
1 week ago
Mason, United States Mindlance Full timeTitle : Data Entry - Claims Processor Location : Mason, Ohio, 45040 Work hours: 8 - 5pm with hour lunch, or 8-4.30 with 30 minute lunch. Duration : 4 months contract to begin with, possibilities of extension according to performance. Onsite for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote -...
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Cash/Claims Processor Assignment
4 weeks ago
Mason, United States Randstad Full timeRandstad - [Customer Service Representative] As a Claims Processor at Randstad, you'll: Perform manually keying claims into the Claims Payment System; Examine claims to ensure accuracy; Route claim issues to outside departments through separate applications...Hiring Immediately >>
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Utilization Management Representative I
3 weeks ago
Mason, United States Ohio Staffing Full timeUtilization Management Representative IThis role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per...
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Claims Processor
2 weeks ago
Mason, United States Kelly Full timeFinding a job that fits your lifestyle isn’t always easy. That’s where Kelly® comes in. We’re seeking a Claims Processor to work with one of the nation’s fastest-growing vision care companies in Mason, OH (45040). Sound good? Take a closer look below. We’re here to help you find something great that works for you—so you won’t miss a moment of...
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Customer Care Representative I
11 hours ago
Mason, OH, United States Elevance Health Full timeCustomer Care Representative I Location : Virtual; This role enables associates to work virtually full-tine, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Hours :...
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Investigator I
4 days ago
Mason, Ohio, United States Elevance Health Full time $60,000 - $90,000 per yearAnticipated End Date: Position Title:Investigator I -Payment Integrity SIUJob Description:Investigator I – Payment Integrity SIULocation: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured...
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Clinical Provider Auditor I
4 days ago
Mason, Ohio, United States Elevance Health Full time $60,000 - $120,000 per yearAnticipated End Date: Position Title:Clinical Provider Auditor I (CPC)Job Description:Clinical Provider Auditor I (CPC)Hybrid 1: This role requires associates to be in-office days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement...
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Mason, Ohio, United States Lindner Center of HOPE Full time $60,000 - $90,000 per yearLead Residential Revenue Cycle RepresentativeFTE: hours per week)Req: 1633About Us:The Lindner Center of Hope is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time.One of the first centers designed as a fully integrated system of care to...