Claims Processor I - CPT & ICD-9 Experience Required - Remote US

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.

Candidates must have prior medical claims experience, and experience with ICD-9 and CPT.

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.
  
  

Auto req ID

440891BR

Minimum Education Required

High School/GED

Job_Category

Health/Medical other

Additional Qualifications/Responsibilities

Ability to quickly use a 10-key machine.

Experience with list of ICD-9 codes and Current Procedural Terminology (CPT).

General Job Information

Title

Claims Processor I

Grade

18

Work Experience - Required

Claims

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

License and Certifications - Required

License And Certifications - Preferred

Salary Range

Salary Minimum

$34,295

Salary Maximum

$51,445

City*

United States

State*

N/A

Job Code

Health-Services health-services

Affiliate Sponsor

Magellan Federal - AFSC