Posted in General Business 22 days ago.
Type: Full-Time
Provides support to Claims Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations, providers, pricing, reporting and financial. Assist in testing and documenting of account specific benefits to ensure accurate claims adjudication. The position assists in ensuring system performance and resolution of system problems that may impede claims processing.
Responsibilities
Knowledge of ICD-9 and CPT coding terminology.
Knowledge and understanding of database management and documentation.
2+ years of claims processing experience.
General Job Information
Title
Claims Systems Specialist I
Grade
20
Work Experience - Required
Claims
Work Experience - Preferred
Education - Required
Education - Preferred
Bachelor's
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$41,505
Salary Maximum:
$62,255
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Kforce Inc |
TalentBridge |
Revolution Technologies |
KLS Martin Manufacturing |
KLS Martin Manufacturing |
KLS Martin Manufacturing |