Medical/Dental Claims Auditor | Audit & Compliance

Southwest Service Administrators, Inc.; Phoenix (AZ); On-site; USD 26,000 - 34,000; Full time

Benefits offered by this job

Medical, dental, vision

Short-term disability

Company-paid long-term disability & L/

401K with company match

Paid time off

Job summary

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

The role requires three years of claims analysis experience, strong knowledge of medical terminology and CPT/ICD codes, and proficiency in MS Excel and Word. Health benefits and a comprehensive compensation package are offered.

Qualifications

• Must have a High School Diploma or GED.
• Three years of recent experience analyzing medical claims.
• Excellent attention to detail and accuracy in audits.

Responsibilities

• Audit medical and/or dental claims and document findings.
• Prepare management reports summarizing observations and recommendations.
• Research claim processing issues to determine origin and resolution.
• Assist in testing system functionality during upgrades and implementations.
• Maintain knowledge of policies, procedures, compliance regulations, and benefits schedules.

Skills

Attention to detail

Medical terminology

CPT/ICD codes

Typing speed 40 wpm

Strong communication

Education

High School Diploma/GED

Tools

MS Excel

MS Word

Job description

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

The role requires three years of claims analysis experience, strong knowledge of medical terminology and CPT/ICD codes, and proficiency in MS Excel and Word. Health benefits and a comprehensive compensation package are offered.