Clerk I

Elevance Health • San Juan, PR

5d • Onsite

About The Position

Title: Clerk I Location: 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. 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. Be Part of an Extraordinary Team Carelon is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our strong, clinical-first lens and deep pharmacy expertise, we are actively defining our innovative role in the industry. Schedule: This position will work a first shift within operational hours from 8:00 am- 6:00 pm Monday thru Friday. Additional hours or days may be required based on operational needs. Build the Possibilities. Make an Extraordinary Impact. The Clerk I is responsible for providing basic clerical activities in support of a department. How you will make an impact: Primary duties may include, but are not limited to: 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.

Requirements

• Requires a HS diploma or GED and related work experience; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

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

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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees