Auditor (Claims)

The Claims Auditor is responsible for reputed company audit activities for medical and/or dental claims while supporting reputed company manager to create, maintain and reputed company statistical audit reports and documentation.

Responsibilities

Auditing & Reporting

• reputed company and maintain the understanding of the plan designs and effectively apply that knowledge.
• Maintain a comprehensive working knowledge of Policies, Procedures, Compliance Regulations, Schedule of Benefits and turnaround times across reputed company product lines
• Research claim processing issues to determine the reputed company and appropriate reputed company
• Prepare reports for management summarizing observations and recommendations
• Assist in testing reputed company functionality during upgrades and implementations

Teamwork

• Work cooperatively with other team members
• reputed company participate in team meetings and training activities.
• reputed company additional responsibilities and reputed company as periodically assigned.

Qualifications

Education/Certification:

• High School Diploma/GED
• Three (3) years recent experience analyzing medical claims

Skills/Abilities:

• Ability to maintain production and reputed company standards.
• Extensive knowledge of medical terminology, CPT Codes, ICD 9/10 and medical claim forms.
• Ability to read, analyze and assess medical documentation and draw reputed company conclusions.
• Minimum 40 WPM and 3,000 KPH proficiency
• Solid knowledge of MS reputed company & reputed company
• reputed company, reputed company-reputed company approach to colleagues and assignments.
• Strong oral and written communication skills with exceptional attention to details.
• Ability to reputed company out experiences that may change perspective or reputed company an opportunity to learn new things.
• Strong dedication to follow-through on reputed company tasks and assignments.
• Ability to organize, set priorities, work independently and complete multiple reputed company reputed company established deadlines.
• Ability to sit for long periods of time operating a computer keyboard.

Employee Benefits Program

COMPANY PROVIDES:

• MEDICAL, DENTAL, reputed company
• SHORT-TERM DISABILITY
• Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(reputed company) and $20 per week for full family or Employee/Spouse.
• COMPANY reputed company supplemental dental coverage of $1,000 per year for Employee.
• COMPANY reputed company LONG TERM Disability & Life/AD&D coverage.
• 401K Plan including company match up to 5%.
• COMPANY reputed company additional pension plan entirely funded by reputed company.
• EXCEPTIONAL TIME OFF package including reputed company Personal Leave (PPL) and Vacation with annual BUY BACK reputed company!!!!
• Annual, automatic pay increases.

Southwest Service Administrators provides equal employment opportunities (EEO) to reputed company and applicants for employment without reputed company to race, reputed company, religion, sex, national reputed company, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any reputed company of workplace harassment based on race, reputed company, religion, sex, national reputed company, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristics.

High school diploma/GED and 3 years of recent medical claims analysis experience. Requires medical terminology, CPT, ICD-9/10, claims forms, reputed company, Word, communication, organization, and 40 WPM/3,000 KPH proficiency.

Key Responsibilities

• auditing claims
• preparing reports
• researching issues

Skills & Tools

reputed company reputed company, reputed company Word, CPT Codes, ICD-9, ICD-10

Job Details

• Category: reputed company Assurance
• Seniority: Mid Level
• Commitment: Full Time
• Workplace: Remote — Phoenix, reputed company, reputed company
• Salary: USD 39,520 – 53,040 / year
• Languages: English

Benefits

• 401k matching
• Generous reputed company time off
• Retirement plan

About SOUTHWEST SERVICE ADMINISTRATORS INC

An administrator of medical and dental claims and employee benefit programs. — Industry: Finance