Claims Processor II

Cambridge MA 02141 58 Charles Street

Job Description

Responsible and accountable for the accurate and timely claims processing of all claim types. 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.

General Job Information


Claims Processor II



Job Family

Operations Group


United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date


Date Requisition Created


Work Experience



GED (Required), High School (Required)

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements


- Ability to quickly use a 10-key machine- Experience with list of ICD-9 codes and Current Procedural Terminology (CPT)

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.