Magellan Health Services, Inc.
Claims Resolution Specialist - Newtown Pennsylvania (Finance)
This position is responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts as liaison between members, providers and internal claims departments. If a recalculation is warranted and modification to the payment amount is determined to be required, acting within established parameters, this role makes the appropriate payment adjustment into the claims system. Must complete duties with a high level of detailed quality and professionalism.
Other Job Requirements
Responsibilities
General Job Information
Title
Claims Resolution Specialist - Newtown Pennsylvania
Grade
18
Work Experience
Claims, Customer Service
Education
GED (Required), High School (Required)
License and Certifications - Required
License and Certifications - Preferred
Magellan 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.