Claims Processor II
Maryland Heights MO 63043 St Louis 1 14100 Magellan Plaza
Job DescriptionResponsible 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
TitleClaims Processor II
Job FamilyOperations Group
CountryUnited States of America
FLSA StatusUnited States of America (Non-Exempt)
Recruiting Start Date10/3/2019
Date Requisition Created10/3/2019
EducationGED (Required), High School (Required)
License and Certifications - Required
License and Certifications - Preferred
Other Job Requirements
Education: HS/GED, College degree.
Experience: 2 years Claims Processing
Other:Use 10-key machine. Experience with ICD-9 and CPT coding terminology. Good decision-making, analytical, organization and communication skills. Mastered CS1 requirements.
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.