Claims Processor I

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $34.3k - $51.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

Where this job comes from

Posted on Magellan Health's careers page, not through a job board

First seen by Remote Rocketship 2 minutes ago

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

• Process all claims accurately and timely • Adjudicate claims and adjustments as required • Resolve claims edits and suspended claims • Maintain and update reference materials required for claims adjudication • Provide backup support to other team or group members • Perform additional duties aligned with the intent of the role as assigned by a leader

🎯 Requirements

• Ability to quickly use a 10-key machine • Experience with ICD-9 codes • Experience with Current Procedural Terminology (CPT) • Required claims work experience • GED or high school education required • Must comply with security responsibilities, security controls, legal, regulatory, contractual, and internal policy requirements

🏖️ Benefits

• Short-term incentives may be available • Comprehensive benefits package • Health benefits • Life benefits • Voluntary benefits • Wellbeing perks supporting physical, mental, emotional, and financial wellbeing • Equal Opportunity Employer • Tobacco-free workplace

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