Claims Specialist II - CL9102NBPosted: November 3, 2009
Claims Specialist II - CL9102NB Requisition ID 5888 Full/Part Time Full-time Location Columbia MD Description JOB SUMMARY The Skill Level II Claims Specialist is responsible and accountable for the following essential functions including the accurate and time- ly claims processing of all claim types. Claims must be processed with a high level of quality and in accordance with claims payment policy and the terms of our customer/provider contractual agreements. ESSENTIAL FUNCTIONS: (Tasks critical to completion of daily workload) A. Adjudicate claims and adjustments B. Resolve claims edits and suspended claims C. Maintain and update required reference materials to adjudi- cate claims D. Provide backup support to other team/group members in the performance of job duties as assigned NON-ESSENTIAL FUNCTIONS: (Additional tasks necessary to meet overall performance standards) Complete various tasks as assigned by the Team Lead, Supervisor or Manager. MINIMUM REQUIREMENTS: (Skills necessary to meet minimum performance standards of the position) 1. Education: HS/GED, College degree 2. Experience: 2 yrs claims processing 3. Computer Skills: 4. Licenses, Certifications, etc.: OTHER: Able to use 10-key machine, experience with ICD-9 and CPT coding terminology; good decision-making, analytical, organization, and communication skills. Mastered CS1 requirements.
Please refer to job code magellanhealth-5888 when responding to this ad.
| Category: | Accounting/Banking/Finance/Insurance |
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> Claims
| | Location: | Columbia, MD | | County: | Howard County | | ZIP Code: | 21044 | | Pay Rate: | Open | | Job Terms: | full time | | Company: | Magellan Health Services | | Phone: | email only please | | Fax: | email only please |
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