Claims Processor I

Magellan Federal; United States; In loco; USD 34.000 - 51.000; Tempo pieno

Vantaggi offerti da questo lavoro

Short-term incentives

Comprehensive benefits package

Descrizione del lavoro

Magellan Federal is seeking a Claims Processor I to accurately and timely process insurance claims in line with policy and contractual terms. You will adjudicate claims, resolve edits, and maintain reference materials to ensure quality outcomes.

The role requires basic education (GED/High School) and familiarity with ICD-9 and CPT coding, along with reliable 10-key data entry capabilities. A competitive benefits package is available.

Competenze

• GED or high school diploma required.
• Experience with ICD-9 coding and CPT.
• Proficiency in using a 10-key calculator.

Mansioni

• Process claims accurately and in a timely manner in accordance with policy and contractual agreements.
• Adjudicate claims and adjustments as required; resolve edits and suspended claims.
• Maintain and update reference materials used to adjudicate claims.
• Provide backup support to team members as needed.

Conoscenze

10-key data entry

ICD-9 coding

CPT coding

Formazione

GED

High School diploma

Descrizione del lavoro

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. 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.

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.

Other Job Requirements

Responsibilities

• Ability to quickly use a 10-key machine.
• Experience with list of ICD-9 codes and Current Procedural Terminology (CPT).

General Job Information

Title

Claims Processor I

Grade

18

Work Experience - Required

Claims

Education - Required

GED, High School

Salary Range

Salary Minimum: $34,295

Salary Maximum: $51,445

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.