Claims Processor I - Accurate, Timely Adjudication

Magellan Federal; United States; On-site; USD 34,000 - 51,000; Full time

Benefits offered by this job

Short-term incentives

Comprehensive benefits package

Job summary

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.

Qualifications

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

Responsibilities

• 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.

Skills

10-key data entry

ICD-9 coding

CPT coding

Education

GED

High School diploma

Job description

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.