Healthcare Claims Processor I - ICD 9/CPT Exp Required - Remote US

VetJobs; United States; Vor Ort; USD 34.000 - 51.000; Vollzeit

Zusammenfassung

Magellan Federal - AFSC is hiring a Claims Processor I in the United States. The role focuses on accurate and timely processing of insurance claims, adhering to payment policies and contract terms. Strong attention to detail and proficiency with ICD-9/CPT codes are required.

The position demands ability to operate a 10-key machine and maintain updated reference materials. Preference for candidates with a GED or High School diploma and a dedication to supporting veterans and their families.

Qualifikationen

• Ability to quickly use a 10-key machine.
• Experience with ICD-9 codes and CPT (Current Procedural Terminology).
• High school diploma or GED required.

Aufgaben

• 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.

Kenntnisse

10-key data entry

ICD-9 & CPT codes

Ausbildung

GED

High School Diploma

Jobbeschreibung

Job Description

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.

Responsibilities

• 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

• 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

Auto req ID

486813BR

Minimum Education Required

High School/GED

Additional Qualifications/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

Salary Maximum

$51,445

City*

United States

State*

N/A

Job_Category

Health/Medical other

Job Code

Health-Services health-services

Affiliate Sponsor

Magellan Federal - AFSC