Claims Processor I

🔥 1 hour ago

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Logo of Magellan Health

Magellan Health

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $101M Private Equity Round - Magellan Health Services on 2004-01

Healthcare • Healthcare Insurance

Magellan Health is a healthcare organization focused on behavioral health and care-management services. The company provides clinical care managers, military and family life counselors, and behavioral health services across regional programs (e. g. , Magellan Hawai‘i, Magellan of New Mexico), and supports treatment coordination for mental health and substance abuse conditions. It also offers programs that support military families and other institutional clients, indicating work in managed behavioral health and care coordination.

📋 Description

• Responsible and accountable for accurate and timely processing of all claims • Adjudicates claims and adjustments • Resolves claims edits and suspended claims • Maintains and updates reference materials to adjudicate claims • Provides backup support to team members

🎯 Requirements

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

🏖️ Benefits

• Comprehensive benefits package • Health insurance • Life insurance • Voluntary benefits

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