Claims Analyst at SOUTHWEST SERVICE ADMINISTRATORS INC

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Apr, 26

Salary

25.5

Posted On

04 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Terminology, CPT Codes, ICD 9/10, Medical Claim Forms, Data Analysis, Attention to Detail, Communication Skills, MS Excel, MS Word, Teamwork, Client-Focused, Organizational Skills, Time Management, Production Standards, Quality Standards

Industry

Insurance

Description

Job Details Job Location: Phoenix, AZ - Phoenix, AZ 85027 Salary Range: $19.00 - $25.50 Hourly 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. Responsibilities Analyzing/Processing 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. Teamwork Work cooperatively with other team members Actively participate in team meetings and training activities. Perform additional responsibilities and projects as periodically assigned Qualifications Education/Certification: (Minimum) High School Diploma/GED Three (3) years recent experience processing medical claims Skills/Abilities: 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. Employee Benefits Program COMPANY PROVIDES: MEDICAL, DENTAL, VISION SHORT-TERM DISABILITY Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse. COMPANY PAID supplemental dental coverage of $1,000 per year for Employee. COMPANY PAID LONG TERM Disability & Life/AD&D coverage. 401K Plan including company match up to 5%. COMPANY PAID additional pension plan entirely funded by the company. EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!! Annual, automatic pay increases. Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, 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 all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristics.

Responsibilities

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