SCA Claims Processor I

SCA Claims Processor I Location:  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 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. Wellpoint Federal, a subsidiary of Elevance Health, brings deep industry expertise and healthcare service capabilities to support federal programs. The organization delivers solutions across claims administration, data, and care delivery to help address complex challenges and improve health outcomes for federal populations. The SCA Claims Processor I is responsible for coding and processing claim forms. Responsible for processing and manual review of Medicare Part B professional claims.  How you will make an impact: Resolves edits/audits to ensure the accurate and timely adjudication of suspended claims. 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.

Requires HS diploma or equivalent. This position is part of our Wellpoint Federal division which, per CMS TDL 190275, requires foreign national applicants to meet the residency requirement of living in the United States for at least three of the past five years. Preferred Skills, Capabilities, and Experiences: Good oral and written communication skills; previous experience using PC, database system, and related software (i.e., MSWord, Excel, etc.) strongly preferred. Experience with healthcare insurance claims processing highly preferred. Strong data entry skills preferred. Strong attention to detail preferred. Prior experience with MS Office products preferred. For candidates working in person or virtually in the below locations, the non-negotiable hourly rate* range for this specific position is $17.75.     Location: New York, Massachusetts       In 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.         * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.   Job Level: Non-Management Non-Exempt Workshift: