Clerk I

Elevance Health•San Juan, PR

2d•Onsite

About The Position

The Clerk I is responsible for providing basic clerical activities in support of a department. This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. When reporting to the office the location is in 1001 San Roberto Street, Suite 101, San Juan, Puerto Rico 00926. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health.

Requirements

Requires a HS diploma or GED and related work experience; or any combination of education and experience which would provide an equivalent background.
Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
It is an expectation of the role to use basic office equipment.

Nice To Haves

Administrative experience in a pharmacy or medical office setting preferred.
Bilingual ( English and Spanish) preferred.

Responsibilities

Makes and receives phone calls to exchange information to accomplish tasks.
Routinely files work, reports, etc. in case files and designated areas.
Sorts, labels, alphabetizes documents/files, etc. for others to execute work effort.
Extracts, sorts, preps, batches and routes documents within the company as needed.
Operates camera/scanner and retrieves previously scanned information as needed.
Copies incoming and outgoing correspondence.
Ensures rejected claims were denied correctly or determines if those claims should be matched to a member.
Manually matches or denies claims that are halted in our system because of inadequate information.
Navigates proprietary software systems to locate member information.
Ensures compliance with HIPAA and HITRUST information security requirements to protect client information.
May be expected to drive to post office or other administrative offices based on business need.