Southwest Service Administrators, Inc. · 2 days ago
Auditor
United States
Full-time
Remote
Mid Level
$19/hr - $25/hr
3+ years exp
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Responsibilities
Gain and maintain the understanding of the plan designs and effectively apply that knowledge.
Maintain a comprehensive working knowledge of Policies, Procedures, Compliance Regulations, Schedule of Benefits and turnaround times across all product lines
Research claim processing issues to determine the origin and appropriate resolution
Prepare reports for management summarizing observations and recommendations
Assist in testing system functionality during upgrades and implementations
Work cooperatively with other team members
Actively participate in team meetings and training activities.
Perform additional responsibilities and projects as periodically assigned.
Qualification
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Required
High School Diploma/GED
Three (3) years recent experience analyzing medical claims
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.
Benefits
MEDICAL, DENTAL
VISION
SHORT-TERM DISABILITY
Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
401K Plan including company match up to 5%.
COMPANY PAID additional pension plan entirely funded by the company.
EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
Annual, automatic pay increases.
Company
Southwest Service Administrators, Inc.
Southwest Service Administrators was created in 1995 as an independent Third Party Administrator (“TPA”) to provide unique and specialized services to labor-management, Taft-Hartley Trust Funds.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase
