Claims Analyst

SOUTHWEST SERVICE ADMINISTRATORS INCPhoenix, AZ
1d$19 - $26Onsite

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

  • 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

Benefits

  • 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.
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