Dedicated Claims Auditor

Posted 13 Days Ago
Be an Early Applicant
Phoenix, AZ, USA
In-Office
50K-55K Annually
Junior
Healthtech
The Role
Audit medical and pharmacy claims for payment accuracy, coding appropriateness, plan adherence, and reimbursement integrity. Review complex and high-dollar claims, identify overpayments and underpayments, analyze payment anomalies, support recovery efforts, and recommend process improvements to reduce claim leakage and optimize healthcare spending.
Summary Generated by Built In

Healthcare shouldn’t be something you worry about when taking care of your family.

That’s why when you join Redirect Health, your healthcare costs nothing out of your paycheck—and the same is true for your spouse and children.

  • No monthly premiums
  • No deductibles
  • No surprise medical bills

Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans.

This isn’t a perk.
It’s part of our mission.


Who We Are

Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance.

We help real people navigate a system that is often confusing, expensive, and frustrating—and we do it with empathy, accountability, and simplicity.

If you want your work to matter to families every single day, you’ll find purpose here.


How We Work (Our Core Values in Action)

At Redirect Health, our values guide how we show up for each other, our clients, and our members.

We do our best work when we:

  • Obsess Over People – We are always helpful, friendly, and human
  • Own It to Completion – If we take something on, we see it through
  • Always Improve & Adapt – We learn quickly and adjust without ego
  • Start with “Yes, We Can Help You” – We lead with solutions
  • Succeed as a Team – We win through trust and collaboration
  • Detest Waste & Unnecessary Complexity – We simplify to focus on what matters


About This Role

At Redirect Health, we’re on a mission to make healthcare accessible and affordable for everyone. We are currently accepting applications for a Dedicated Claims Auditor.


Are you a healthcare professional who thrives in a fast-paced, adaptable environment and is passionate about delivering exceptional service? We’re looking for a Dedicated Claims Auditor to oversee and ensure comprehensive medical and pharmacy claims auditing practices for our members. This is an opportunity to make a direct impact, examine and improve workflows, and support the Claims Management team in sustaining our vision of 0% Error Rates —all while helping people access the care they need.


What You’ll Do

In this role, you will:

  • Claims Audit, Review, & Quality Assurance

o Perform detailed audits of medical and pharmacy claims to verify payment accuracy, coding appropriateness, and adherence to plan provisions.

o Validate claims against internal reimbursement methodologies, contracts, fee schedules, and plan documents.

o Review high-dollar, complex, and outlier claims for billing accuracy and reimbursement integrity.

  • Payment Integrity and Cost Containment

o Identify claim overpayments, underpayments, and recovery opportunities.

o Analyze reimbursement trends and claim payment anomalies.

o Support recovery efforts through reprocessing recommendations and financial impact analyses.

o Recommend process improvements to reduce claim leakage and optimize plan spend.


What We’re Looking For

We’re looking for someone who:

  • Experience: 2+ years in a dedicated claims and/or auditing role, preferably in healthcare or customer service
  • Skills: Strong system and rules analysis, problem-solving, and decision-making abilities. Excellent communication and interpersonal skills.


Why Join Redirect Health

What “Free Healthcare” Actually Means

When we say free, we mean no money out of your paycheck and no cost when you need care:

  • No monthly premiums
  • No cost to add your spouse or children
  • No deductibles (we reimburse them)
  • No out-of-pocket maximums

This benefit alone can save families tens of thousands of dollars.


What You’ll Earn
  • Salary range: $50,000 - $55,000 per year
  • FREE healthcare for you and your entire family
  • Dental & Vision insurance
  • Paid time off & sick time
  • 401(k) access
  • A mission-driven team that believes in doing the right thing


Ready to Make a Difference?

If you’re looking for more than just a job—and want to help reshape how healthcare works for families—we’d love to hear from you.


Legal Stuff

Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship.


The pay range for this role is:

50,000 - 55,000 USD per year (Phoenix)

Skills Required

  • 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 abilities.
  • Strong problem-solving and decision-making abilities.
  • Excellent communication and interpersonal skills.
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The Company
HQ: Scottsdale, AZ
109 Employees
Year Founded: 2012

What We Do

Redirect Health provides businesses with affordable healthcare plans using a partial self-insurance model that comply with the Affordable Care Act, reduce administration costs associated with traditional insurance plans, and enhance the employee’s healthcare experience. At Redirect Health, we imagine a day when all American companies have healthcare working so well and inexpensively that they provide it for free, using it to attract talented workforces, and maximizing free-market advantages in the local and global marketplaces.

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