Plan Builder at Auxiant

Madison, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Jun, 26

Salary

0.0

Posted On

12 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Plan Building, Health Benefits Information Interpretation, Data Input, Claims Processing System, Group Benefit Health Plans Analysis, Configuration, Project Management, Plan Design Coding, Auto Adjudication, Claims Logic Coding, Summary Of Benefits Creation, Cross-Auditing, Benefit Accuracy Verification, Processor Support, Process Improvement Suggestion

Industry

Insurance

Description

Description https://www.auxiant.com/ 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. Essential Functions: 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 Nonessential Functions: Other duties as assigned or appropriate Education/Qualifications: 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 Full benefits including: Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 paid holidays, casual dress code and more

Responsibilities

The role involves interpreting complex health benefits information from written documents and accurately inputting the relevant data into the claims processing system. Essential functions include the analysis and configuration of group benefit health plans and improving system auto adjudication through claims logic coding.