Medical Claims Auditor (Hybrid)

Northwest Administrators, Inc. • Federal Way, WA

1d • Hybrid

About The Position

The Health and Welfare Claims Auditor position focuses on reviewing the work of Health and Welfare Medical, Dental, Vision, Time Loss, and Life Claims Processors. This role involves collaboration with other auditors, outside vendors, account executives, department supervisors and managers, and medical consultants. The position has a hybrid work schedule, requiring 3 days per week in the office after training completion, and can be based in Seattle, Mountlake Terrace, or Federal Way.

Requirements

• Medical & Dental Claims processing experience
• Intermediate level experience using Microsoft Office Suite of tools
• Excellent verbal, written and interpersonal communication skills
• Able to prioritize work, multi-task and work independently

Nice To Haves

• Auditing/training experience preferred
• Bachelor's degree preferred or equivalent combination of education & experience

Responsibilities

• Perform internal audits of our Health and Welfare Claims Processors' work
• Design and implement training plans for Claims Processors
• Conduct training sessions for groups of new Claims Processors
• Train and cross-train on plan, system and procedural changes
• Respond to day-to-day referral questions
• Perform random and large dollar claims audits
• Prepare written claim processing guideline materials
• Coordinate vendor interaction with specific PPOs and benefit providers

Benefits

• Hourly rate range of $30.70 - $41.54 per hour
• Medical, dental (w/Orthodontia), vision, Rx benefits, disability & life insurance
• Optional benefits: health flex spending, dependent care assistance & pet insurance
• Generous 401(k) plan with employer base contribution and match
• Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
• Collaborative team environment
• Work-life balance
• Many training and development opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree