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.Other Job Requirements

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

　　*General Job Information*

　　TitleClaims Processor II

　　Grade19

　　Work Experience - RequiredClaims

　　Work Experience - Preferred

　　Education - RequiredGED, High School

　　Education - Preferred

　　License and Certifications - Required

　　*License and Certifications - Preferred*

　　Salary Range

　　Salary Minimum:$37,725Salary Maximum:$56,595

　　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.

　　Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity