Medical Claims Processor I: Detail-Oriented

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

Job summary

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.

Qualifications

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

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.

Skills

10-key data entry

ICD-9 & CPT codes

Education

GED

High School Diploma

Job description

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.