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Claims Processor (Medical)

Southwest Service Administrators

This is a Full-time position in PHOENIX, AZ posted February 16, 2021.

The Medical Claims Processor is responsible for reviewing, analyzing, and processing medical claims. In addition, the Medical Claims Processor will be responsible for validating claims to ensure accurate and timely processing.

We pride ourselves on being flexible, but there are some things we feel very strongly about:

Being an excellent communicator, because you take care in articulating your own thought process, as well as critique the work of others.

Understanding the whole business. Great systems aren’t built in a vacuum – they require hard work from extremely smart people across many disciplines and an understanding of how it all fits together.

Great teams are better than the all-star players. No matter how great someone’s ideas, they’ll be improved upon through collaboration.

Responsibilities

Processing

    • Gain and maintain the understanding of the plan designs and effectively apply that knowledge.

    • Review and validate all claims to ensure that there is no missing or incomplete information.

    • Analyze claims as appropriate from first submission to finalizing.

    • Understand and interpret medical terminology as it relates to diagnosis and procedures.

    • Approve, pend, or deny claims using assessable medical documents.

    • Maintain complete and accurate processing while using a high degree of discretion and confidentiality.

Teamwork

    • Work cooperatively with other team members

    • Actively participate in team meetings and training activities.

    • Perform additional responsibilities and projects as periodically assigned

Education/Certification:

    • High School Diploma/GED

Skills/Abilities:

    • Previous experience in medical claims processing required.

    • 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

    • 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.

Competencies:

Analytical, Problem Solving, Critical Thinking, Communications, Interpersonal Relations/Teamwork, Organization Awareness, Self/Life Management, Continuous Improvement/Innovation and Change, Basic Technical Competence

Employee Benefits Program

    • One of the most competitive Paid Time Off plans in the industry.

    • Extensive 401(k) plan with company matching for contributions up to five percent of an employee’s base pay.

    • Affordable medical, dental and vision insurance; along with company paid disability and life insurance.

    • Family and employee care programs.

 

Apply Today

 

Skills Required

  • Medical Claims

Package

Salary: $16.00-$18.87

Apply at www.ssatpa.com