Claims Analyst

Southwest Service Administrators, Inc.; Phoenix, Northern (AZ, KY); Hybrid; USD 26,000 - 34,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Short-term disability

Long-term disability

Life/AD&D

401K with company match

Pension plan

Paid time off

Vacation with buy back

Annual pay raises

Job summary

Southwest Service Administrators, Inc. in Phoenix, AZ is seeking an experienced claims processor to analyze and process medical claims from submission to finalization.

The role requires strong medical terminology knowledge, CPT/ICD-9/10 coding, and excellent accuracy in processing. The candidate should have at least 3 years of recent experience, a High School Diploma or GED, and proficient MS Excel and Word skills.

Qualifications

• Minimum 3 years recent experience processing medical claims.
• High School Diploma or GED required.
• Strong knowledge of medical terminology, CPT codes, ICD-9/ICD-10.
• Proficient with MS Excel and MS Word.

Responsibilities

• Analyze/Process claims from first submission to finalizing.
• Gain and maintain understanding of plan designs and apply knowledge.
• Maintain complete and accurate processing.

Skills

Medical terminology

CPT codes

ICD-9/10

MS Excel

MS Word

Typing 40 wpm

Communication skills

Detail oriented

Independent work

Education

High School Diploma/GED

Tools

MS Excel

MS Word

Job description

Job Details

Job Location: Phoenix, AZ - Phoenix, AZ 85027
Salary 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.