Job ID: JP00045416
Anticipated Start Date: 04/07/2025
Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.
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.
Responsible for operating a data entry device to key and/or verify a variety of standard and/or complex coded or uncoded business and statistical source data into a computer.
Primary duties may include, but are not limited to:
- Performs daily reconciliation of customer claims.
- Requests account adjustments.
- Provides superior quality outcomes by taking ownership of claims to ensure timely resolution or follow-up.
- Processes a minimum of 250-300 claims per day and accounts for all claims in assigned batches.
- Achieve and maintain an accuracy rate of 98%.
- Foster a professional and positive attitude.
- Operate a data entry device to key and/or verify a variety of standard and complex coded or uncoded business and statistical source data into a computer.
- Perform data analysis of CPT/HCPCS Codes.
- Enter required data and tickets into multiple systems.
- Coordinate and follow through on submitted tickets, providing timely updates, and adding required information to the master data.
- Ensure all systems are aligned by testing post-implementation.
Requirements:
- Requires a HS diploma or GED; or any combination of education and experience which would provide an equivalent background. Incumbent must have knowledge of claims operations, services and the various operations of the organization, products, and services.
- Previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) is required.
- Knowledge of industry-standard codes, services, and the various operations of the organization, products, and services.
- Advanced Excel skills.
- Good typing and keyboard skills.
- Strong oral and written communication skills.
- Ability to coordinate with multiple stakeholders and follow through on tasks.
Job Type: Contract opportunity.
Additional Details:
- Remote, WFH opportunity.
- 9am-5pm CST.
- Must be 50 miles from a PulsePoint location.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Pay Rate Range
Min Pay Rate$11.65
Max Pay Rate$22.52
CurrencyUSD
Unithourly
Benefits Information
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
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. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).