Claims Auditor: Medical & Dental Audit & Compliance

Southwest Service Administrators Inc; Phoenix (AZ); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Short-term disability

401K plan with match

Pension plan

Job summary

Southwest Service Administrators Inc is seeking a Claims Auditor to lead audit activities for medical and dental claims and support the team manager with statistical reports and documentation.

The role requires three years of recent medical claim analysis experience, strong MS Excel/Word skills, and excellent attention to detail. A comprehensive benefits package accompanies this full-time position, with opportunities for professional growth.

Qualifications

• High School Diploma or GED required.
• 3 years of recent experience analyzing medical claims.
• Proficient in MS Excel and Word; strong data analysis skills.

Responsibilities

• Audit medical and dental claims and generate reports for management.
• Maintain understanding of plan designs; apply knowledge to audits.
• Prepare management reports with observations and recommendations.
• Assist in testing system functionality during upgrades and implementations.
• Collaborate with team members and participate in meetings and trainings.

Skills

Medical terminology

CPT ICD coding

MS Excel

MS Word

Data analysis

Typing 40 WPM

Education

High School Diploma/GED

Tools

MS Excel

MS Word

Job description

Southwest Service Administrators Inc is seeking a Claims Auditor to lead audit activities for medical and dental claims and support the team manager with statistical reports and documentation.

The role requires three years of recent medical claim analysis experience, strong MS Excel/Word skills, and excellent attention to detail. A comprehensive benefits package accompanies this full-time position, with opportunities for professional growth.