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MAGELLAN HRSC, INC. Claims Processor II - R00000041281 in Maryland Heights, Missouri

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 RequirementsResponsibilitiesAbility to quickly use a 10-key machineExperience with list of ICD-9 codes and Current Procedural Terminology (CPT)General Job Information TitleClaims Processor IIGrade17Work ExperienceClaimsEducationGED (Required), High School (Required)License and Certifications - RequiredLicense and Certifications - PreferredMagellan 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.Equal Opportunity Employerminorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

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