Plan Builder

Auxiant • Madison, WI

15h

About The Position

Auxiant’s Mission Statement and Core Values

Mission:
An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results.

Core Values: Independent Solutions. REAL Results
Respect
Empowerment
Agility
Leadership

Be part of a growing and prospering company as a Plan Builder. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing,progressive company offering an excellent wage and benefit package.

Job Summary:
You will be responsible for interpreting complex health benefits information from written documents and accurately inputting the relevant data into our claims processing system.

Requirements

• Ideal candidate will have 2 plus years of self-funded health insurance industry experience, with experience in benefit programming and specific knowledge of Trizetto’s Qiclink claims software.
• Strong knowledge of health insurance terminology, coding systems (e.g., CPT, ICD-10), and industry practices.
• Excellent attention to detail and the ability to interpret complex documents accurately.
• Effective communication skills and the ability to collaborate with cross-functional teams.
• Ability to work in a fast-paced environment and meet tight deadlines

Responsibilities

• Analysis and configuration of group benefit health plans
• Demonstrate organized and effective project management skills
• Participate in internal and external meetings regarding plan designs and coding
• Improve system auto adjudication through claims logic coding and plan design
• Create/Modify summary of benefits for each new/changed plan
• Cross-audit plan documents for benefit accuracy
• Answer processor questions regarding benefits and plan build
• Suggest improvements in processes
• Other duties as assigned or appropriate

Benefits

• Medical
• Dental
• Vision
• Flexible Spending
• Gym Membership Reimbursement
• Life Insurance
• LTD
• STD
• 401K
• 3 weeks vacation
• 9 paid holidays
• casual dress code

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed