Claims Analyst

Southwest Service Administrators; Phoenix (AZ); On-site; USD 54,442,752 - 73,067,904; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Short-term disability

401K with match

Pension plan

Paid time off

Annual pay raises

Job summary

Southwest Service Administrators in Phoenix, AZ, is seeking a claims processing professional to analyze and process medical claims with accuracy and efficiency.

Responsibilities include understanding plan designs, analyzing claims from submission to finalization, and maintaining precise records. The role emphasizes teamwork, meeting deadlines, and leveraging MS Excel/Word to manage data while delivering client-focused service.

Qualifications

• Minimum high school diploma or GED.
• Three years of recent medical claims processing experience.

Responsibilities

• Analyze claims from first submission to finalization.
• Maintain complete and accurate processing records.
• Apply knowledge of plan designs to processing tasks.
• Collaborate with team members and participate in meetings and training.
• Perform additional responsibilities and projects as assigned.

Skills

Medical terminology

CPT Codes

ICD-9/ICD-10

MS Excel

MS Word

Attention to detail

Communication skills

Time management

Education

High School Diploma/GED

Tools

Pivot Tables

Lookup Functions

Job description

Job DetailsJob Location: Phoenix, AZ - Phoenix, AZ 85027Salary Range: $19.00 - $25.50 Hourly

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.

QualificationsEducation/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.