Claims Analyst

SOUTHWEST SERVICE ADMINISTRATORS INC•Phoenix, AZ

22d•$19 - $26•Onsite

About The Position

The Claims Analyst is responsible for reviewing, analyzing and processing medical and/or dental claims. This role is responsible for analyzing claims from first submission and processing them to the final payment while maintaining complete accuracy, production and quality standards.

Requirements

High School Diploma/GED
Three (3) years recent experience processing medical claims
Ability to maintain production and quality 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 valid conclusions.
Minimum 40 WPM and 3,000 KPH proficiency
Solid knowledge of MS Excel & MS Word (i.e. pivot tables and lookup functions).
Professional, client-focused approach to colleagues and assignments.
Strong oral and written communication skills with exceptional attention to details.
Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
Strong dedication to follow-through on all tasks and assignments.
Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.
Ability to sit for long periods of time operating a computer keyboard.

Responsibilities

Gain and maintain the understanding of the plan designs and effectively apply that knowledge.
Analyze claims as appropriate from first submission to finalizing.
Maintain complete and accurate processing.
Work cooperatively with other team members.
Actively participate in team meetings and training activities.
Perform additional responsibilities and projects as periodically assigned.

Benefits

MEDICAL
DENTAL
VISION
SHORT-TERM DISABILITY
supplemental dental coverage
LONG TERM Disability
Life/AD&D coverage
401K Plan including company match up to 5%
additional pension plan
EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options
Annual, automatic pay increases