Dedicated Claims Auditor

Redirect Health; Phoenix (AZ); On-site; USD 50,000 - 55,000; Full time

Benefits offered by this job

Free healthcare for you and your whole

Dental & Vision insurance

Paid time off

Job summary

Redirect Health in Phoenix is seeking a Dedicated Claims Auditor to oversee medical and pharmacy claims auditing practices for our members. You will help ensure payment accuracy, coding appropriateness, and adherence to plan provisions in a fast-paced environment.

You will review high-dollar and complex claims, identify overpayments, and support recovery efforts. We offer free healthcare for you and your family, dental and vision coverage, a 401(k), and a mission-driven team.

Qualifications

• 2+ years in a dedicated claims and/or auditing role, preferably in healthcare or customer service.
• Strong system and rules analysis, problem‑solving, and decision‑making abilities.
• Excellent communication and interpersonal skills.

Responsibilities

• Claims Audit, Review, & Quality Assurance.
• Perform detailed audits of medical and pharmacy claims to verify payment accuracy, coding appropriateness, and adherence to plan provisions.
• Validate claims against internal reimbursement methodologies, contracts, fee schedules, and plan documents.
• Review high-dollar, complex, and outlier claims for billing accuracy and reimbursement integrity.
• Payment Integrity and Cost Containment.
• Identify claim overpayments, underpayments, and recovery opportunities.
• Analyze reimbursement trends and claim payment anomalies.
• Support recovery efforts through reprocessing recommendations and financial impact analyses.
• Recommend process improvements to reduce claim leakage and optimize plan spend.

Skills

Claims auditing

System analysis

Problem solving

Decision making

Communication

Job description

Healthcare shouldn’t be something you worry about when taking care of your family.

That’s why when you join Redirect Health, your healthcare costs nothing out of your paycheck—and the same is true for your spouse and children.

• No monthly premiums
• No deductibles
• No surprise medical bills

Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans.

This isn’t a perk.

It’s part of our mission.

Who We Are

Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance.

We help real people navigate a system that is often confusing, expensive, and frustrating—and we do it with empathy, accountability, and simplicity.

If you want your work to matter to families every single day, you’ll find purpose here.

How We Work (Our Core Values In Action)

At Redirect Health, our values guide how we show up for each other, our clients, and our members.

We Do Our Best Work When We

• Obsess Over People – We are always helpful, friendly, and human
• Own It to Completion – If we take something on, we see it through
• Always Improve & Adapt – We learn quickly and adjust without ego
• Start with “Yes, We Can Help You” – We lead with solutions
• Succeed as a Team – We win through trust and collaboration
• Detest Waste & Unnecessary Complexity – We simplify to focus on what matters

About This Role

At Redirect Health, we’re on a mission to make healthcare accessible and affordable for everyone. We are currently accepting applications for a Dedicated Claims Auditor.

Are you a healthcare professional who thrives in a fast-paced, adaptable environment and is passionate about delivering exceptional service? We’re looking for a Dedicated Claims Auditor to oversee and ensure comprehensive medical and pharmacy claims auditing practices for our members. This is an opportunity to make a direct impact, examine and improve workflows, and support the Claims Management team in sustaining our vision of 0% Error Rates —all while helping people access the care they need.

What You’ll Do

• Claims Audit, Review, & Quality Assurance
• Perform detailed audits of medical and pharmacy claims to verify payment accuracy, coding appropriateness, and adherence to plan provisions.
• Validate claims against internal reimbursement methodologies, contracts, fee schedules, and plan documents.
• Review high-dollar, complex, and outlier claims for billing accuracy and reimbursement integrity.
• Payment Integrity and Cost Containment
• Identify claim overpayments, underpayments, and recovery opportunities.
• Analyze reimbursement trends and claim payment anomalies.
• Support recovery efforts through reprocessing recommendations and financial impact analyses.
• Recommend process improvements to reduce claim leakage and optimize plan spend.

What We’re Looking For

• Experience: 2+ years in a dedicated claims and/or auditing role, preferably in healthcare or customer service
• Skills: Strong system and rules analysis, problem‑solving, and decision‑making abilities. Excellent communication and interpersonal skills.

Why Join Redirect Health

What “Free Healthcare” Actually Means

• No monthly premiums
• No cost to add your spouse or children
• No deductibles (we reimburse them)
• No out-of-pocket maximums

What You’ll Earn

• Salary range: $50,000 - $55,000 per year
• FREE healthcare for you and your entire family
• Dental & Vision insurance
• Paid time off & sick time
• 401(k) access
• A mission-driven team that believes in doing the right thing

The Pay Range For This Role Is

50,000 - 55,000 USD per year (Phoenix)

Legal Stuff

Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice.

Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship.