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SOUTHWEST SERVICE ADMINISTRATORS INC Medical Claims Processor in Phoenix, Arizona

This job was posted by : For more information, please see: 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.ResponsibilitiesProcessingGain 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.TeamworkWork cooperatively with other team membersActively participate in team meetings and training activities.Perform additional responsibilities and projects as periodically assigned