R

Redirect Health

Guided, cost-saving healthcare benefits platform

Dedicated Claims Auditor

Claims AdjudicationConfirmed live in the last 24 hours
Full-timePhoenix, AZ, USA$50k - $55k /yrIn-person

About the Job

Requirements

  • At least 2 years of experience in a dedicated claims and/or auditing role, preferably in healthcare or customer service.
  • Strong system and rules analysis, problem-solving, and decision-making abilities.
  • Excellent communication and interpersonal skills.
  • Must be currently authorized to work in the United States without sponsorship.

Responsibilities

  • Perform detailed audits of medical and pharmacy claims to verify payment accuracy, coding appropriateness, and adherence to plan provisions.
  • Validate claims against internal reimbursement methodologies, contracts, fee schedules, and plan documents.
  • Review high-dollar, complex, and outlier claims for billing accuracy and reimbursement integrity.
  • Identify claim overpayments, underpayments, and recovery opportunities.
  • Analyze reimbursement trends and claim payment anomalies.
  • Support recovery efforts through reprocessing recommendations and financial impact analyses.
  • Recommend process improvements to reduce claim leakage and optimize plan spend.
  • Oversee medical and pharmacy claims auditing practices for members and support the Claims Management team in maintaining low error rates.

About the Company

Redirect Health

Guided, cost-saving healthcare benefits platform

Redirect Health provides healthcare benefits that reduce the need for traditional insurance by guiding employees through their healthcare decisions and giving access to care. Members pay zero user fees and can access 24-hour online primary care, ensuring they get care without confusion. The service combines care access, step-by-step guidance, and fair medical billing support to help employees know what care they need, where to go, and how to pay the least. The company has helped members save over $250 million on medical bills and offers employers a predictable benefits model with a 4.5% base rate guarantee. Its goal is to make insurance optional for businesses while protecting teams and controlling healthcare costs.

Company size
51-200
Company stage
Debt Financing
Total funding
$2M
Headquarters
Phoenix, AZ
Founded
2012

Recently Posted Jobs

Explore more opportunities at Redirect Health

See more jobs