Claims Processor I

Magellan Health

2d • $34,295 - $51,445

About The Position

Responsible and accountable for the accurate and timely processing of all claims. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Requirements

• Ability to quickly use a 10-key machine.
• Experience with list of ICD-9 codes and Current Procedural Terminology (CPT).
• Claims work experience.
• GED, High School education.

Nice To Haves

• Claims work experience.

Responsibilities

• Accurate and timely processing of all claims.
• Processing claims with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.
• Adjudicates claims and adjustments as required.
• Resolves claims edits and suspended claims.
• Maintains and updates required reference materials to adjudicate claims.
• Provides backup support to other team/group members in the performance of job duties as assigned.

Benefits

• Short-term incentives
• Comprehensive benefits package
• Health benefits
• Life benefits
• Voluntary benefits
• Other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED