Southwest Services Administrators

Claims Processor

US-UT-Salt Lake City
1 week ago
Job ID
2017-1090
# of Openings
1
Category
Claims

Overview

Southwest Service Administrators is a Third Party Administrator (TPA) providing unique and specialized administrative services to labor-management Trust Funds (primarily) in the southwest United States with offices in Phoenix, AZ (our corporate service center), Albuquerque, NM and Salt Lake City, UT since 1995.

 

We offer competitive wages and an excellent benefit package including FULL FAMILY coverage for medical, dental, vision & Rx. Other benefits include (employee) short & long term disability, Life/AD&D Insurance, 401k, Pension, generous Paid Personal & Vacation Leave policy and career advancement and travel opportunities.

 

Southwest Service Administrators is currently hiring an experienced Medical Claims Processor This position focuses on processing medical and/or dental claims.

Responsibilities

  • Process claims as appropriate (pay, pend, deny).
  • Maintain knowledge of assigned Plan(s) and effectively apply that knowledge.
  • Maintain production and quality standards.
  • Other duties as assigned.

Qualifications

  • Three (3) years recent experience processing medical, dental, and orthodontic claims.
  • Thorough knowledge of medical terminology.
  • Thorough knowledge of CPT, ICD-9/10, CDT Codes, as well as medical claims forms.
  • Intermediate skills in Microsoft Word and Excel.
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Excellent Typing and 10-key skills.
  • Ability to sit for long periods of time operating a computer keyboard.
  • Must be able to work Monday through Friday, 8:30 am – 5:00 pm.
  • Bi-lingual in Spanish is desirable but not required.

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