Recent Searches

You haven't searched anything yet.

1 Claims Systems Specialist I Job in Maryland, MO

SET JOB ALERT
Details...
Magellan Health
Maryland, MO | Full Time
$71k-86k (estimate)
3 Weeks Ago
Claims Systems Specialist I
Magellan Health Maryland, MO
$71k-86k (estimate)
Full Time | Hardware & Office Equipment 3 Weeks Ago
Save

Magellan Health is Hiring a Claims Systems Specialist I Near Maryland, MO

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.
  • Assists in testing of system enhancements and modifications.
  • Assists with development of system enhancements and analysis of system performance.
  • Performs root cause analysis and resolve system problems identified by claims examiners or other internal staff.
  • Assists in testing and documenting of account specific benefits and system enhancements.
  • Performs audits of each changed or newly configured plan to ensure that benefits are added accurately and consistently across the various plans.
  • Analyzes structure to identify any issues or concerns with the benefit structure provided.
  • Interfaces with other departments to obtain information to resolve issues related to system enhancements and plan configuration.
  • Maintains working knowledge of multiple testing environments, multiple accounts and multiple job functions.
  • Provides backup support to other team/group members in the performance of job duties assigned.
ResponsibilitiesOther Job RequirementsKnowledge of ICD-9 and CPT coding terminology.
Knowledge and understanding of database management and documentation.
2 years of claims processing experience.
General Job InformationTitleClaims Systems Specialist I
Grade20
Work Experience - RequiredClaims
Work Experience - PreferredEducation - RequiredEducation - PreferredBachelor's
License And Certifications - RequiredLicense and Certifications - PreferredSalary RangeSalary 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.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hardware & Office Equipment

SALARY

$71k-86k (estimate)

POST DATE

05/25/2024

EXPIRATION DATE

07/19/2024

WEBSITE

magellanhealth.com

HEADQUARTERS

MARYLAND HEIGHTS, MO

SIZE

7,500 - 15,000

FOUNDED

1969

CEO

REX A CHINN

REVENUE

$3B - $5B

INDUSTRY

Hardware & Office Equipment

Related Companies
About Magellan Health

Magellan Health is a leader in managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. Magellan supports innovative ways of accessing better health through technology, while remaining focused on the critical personal relationships that are necessary to achieve a healthy, vibrant life. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators. For more information, visit Mag...ellanHealth.com. Twitter: @MagellanHealth YouTube: YouTube.com/MagellanHealth Corporate Website: MagellanHealth.com Magellan Healthcare Website: Magellanhealthcare.com Magellan Rx Website: MagellanRx.com Thought Leadership Content: MagellanHealthResources.com Insights and Opinions: MagellanHealthInsights.com Provider Portal: MagellanProvider.com Employee Assistance Program Portal: MagellanHealth.com/Member Please do not publicly post personal health information or any other information you wish to keep private, or send such information using the Private Message feature. Your privacy cannot be guaranteed on Twitter. If you have a question or concern, please email us at SocialMedia@MagellanHealth.com. If you are experiencing an emergency, please call 911 immediately. More
Show less

Show more
Show more

Magellan Health
Full Time
$60k-74k (estimate)
Just Posted
Magellan Health
Part Time
$48k-63k (estimate)
Just Posted