Claims Processor I
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Job Description
Claims Processor I accurately adjudicating healthcare claims and resolving edits for Magellan Health. Maintaining reference materials and supporting claims operations.
Responsibilities:
- Process all claims accurately and timely
- Adjudicate claims and adjustments as required
- Resolve claims edits and suspended claims
- Maintain and update reference materials required for claims adjudication
- Provide backup support to other team or group members
- Perform additional duties aligned with the intent of the role as assigned by a leader
Requirements:
- Ability to quickly use a 10-key machine
- Experience with ICD-9 codes
- Experience with Current Procedural Terminology (CPT)
- Required claims work experience
- GED or high school education required
- Must comply with security responsibilities, security controls, legal, regulatory, contractual, and internal policy requirements
Benefits:
- Short-term incentives may be available
- Comprehensive benefits package
- Health benefits
- Life benefits
- Voluntary benefits
- Wellbeing perks supporting physical, mental, emotional, and financial wellbeing
- Equal Opportunity Employer
- Tobacco-free workplace
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