Southwest Services Administrators

  • Medical Claims Analyst

    Job Locations US-NM-Albuquerque
    Posted Date 1 month ago(6/19/2018 1:08 PM)
    Job ID
    2018-1133
    # 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.

     

    MEDICAL CLAIMS ANALYST

    Department:

    Claims

    Location:

    Albuquerque, NM

    Reporting Relationship:

    Fran Eldridge, Claims Manager

    Status:

    Full-Time; Hourly/Non-Exempt

    Union Membership:

    Eligible

    Work Schedule:

    M-F; 40 hours per week

    Responsibilities

    • Analyze 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 claims.
    • Thorough knowledge of medical, dental and orthodontic terminology.
    • Thorough knowledge of CPT, ICD-9/10, CDT Codes
    • 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.

     

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed