Health & Welfare Claims Auditor & Trainer (Hybrid)

Northwest Administrators, Inc; Seattle (WA); Hybrid; USD 64,000 - 86,000; Full time

Benefits offered by this job

Healthcare benefits

401(k) plan with employer match

Paid vacation, sick leave and holidays

Hybrid schedule after training

On-site training in Seattle (Eastlake)

Job summary

Northwest Administrators, Inc. in Seattle seeks a Health & Welfare Claims Auditor to review the work of Health and Welfare Claims Processors, collaborating with auditors, vendors, account executives, supervisors and medical consultants.

Responsibilities include internal audits, designing training plans, conducting sessions for new processors, training on plan and system changes, responding to questions, performing large-dollar audits and coordinating vendor interactions with PPOs.

Qualifications

• Bachelor's degree preferred or equivalent combination of education & experience.
• Medical & Dental Claims processing; auditing/training experience preferred.
• Organized; ability to prioritize, multi-task and work independently.
• Excellent verbal, written and interpersonal communication skills.
• Intermediate level experience using Microsoft Office Suite.

Responsibilities

• Perform internal audits of Health and Welfare Claims Processors' work.
• Design and implement training plans for Claims Processors.
• Conduct training sessions for groups of new Claims Processors.
• Train and cross-train on plan, system and procedural changes.
• Respond to day-to-day referral questions.
• Perform random and large dollar claims audits.
• Coordinate vendor interaction with PPOs and benefit providers.

Skills

Verbal communication

Written communication

Interpersonal skills

Organizational skills

Microsoft Office

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Office

Job description

Northwest Administrators, Inc. in Seattle seeks a Health & Welfare Claims Auditor to review the work of Health and Welfare Claims Processors, collaborating with auditors, vendors, account executives, supervisors and medical consultants.

Responsibilities include internal audits, designing training plans, conducting sessions for new processors, training on plan and system changes, responding to questions, performing large-dollar audits and coordinating vendor interactions with PPOs.