SCA Claims Processor I

Elevance Health (Anthem); Harrisburg (Dauphin County); Remote; USD 22,000 - 28,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

401k contribution

Equity stock purchase

Job summary

Elevance Health is seeking a SCA Claims Processor I to code and process Medicare Part B claims in a largely remote role with required in-person training. The role emphasizes accuracy and timely adjudication, under supervision.

Prior healthcare claims experience is preferred, with strong data-entry and MS Office skills. Responsibilities include researching claims issues, processing forms for payment, and ensuring all information is complete before payment.

Qualifications

• HS diploma or equivalent required.
• Foreign national applicants must meet residency requirement (CMS TDL 190275).
• Experience with healthcare insurance claims processing preferred.
• Strong data entry and MS Office skills preferred.

Responsibilities

• Code and process claim forms for payment.
• Process and review Medicare Part B professional claims.
• Resolve edits and audits for accurate adjudication of suspended claims.
• Researches and analyzes claims issues.
• Learn activities/tasks under direct supervision.

Skills

Communication skills

Data entry

Attention to detail

MS Word

Excel

Education

High School Diploma

Tools

MS Word

Excel

Database systems

Job description

Job Description

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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

About the Employer

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.

Responsibility

• Responsible for coding and processing claim forms.
• Responsible for processing and manual review of Medicare Part B professional claims.
• 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.

Minimum Requirements

• Requires HS diploma or equivalent.
• Foreign national applicants must meet the residency requirement of living in the United States for at least three of the past five years (per CMS TDL 190275).

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.

Salary and Benefits

• Non-negotiable hourly rate: $17.75.
• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 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

1st Shift (United States of America)

Job Family

SCA > SCA Wage Determination

Who We Are

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.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how