Plan Builder
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
