What are the responsibilities and job description for the Claims Examiner position at Auxiant?
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 Claims Examiner for our Madison, WI office. 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: Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients.
Essential Functions:
- Process claims in a timely manner with acceptable accuracy
- Handle correspondence and phone calls from member and providers in a timely manner
- Analyze self-funded health plans and use plan language to correspond to necessary inquiries, both verbally and written
- Interpret plan design and language to analyze claim edits
- Point of contact for clients and members
- Work Customer Service Tickets
Nonessential Functions:
- Other duties as assigned or appropriate
Education/Qualifications:
- Familiarity with ICD-10 and CPT coding
- Understanding of medical claims processing guidelines
- Proficient PC skills including email, record keeping, routine database activity, word processing, spreadsheet and 10-key
- QicLink experience
- Medical Terminology
- High school diploma and 1-2 years related experience; or equivalent combination of education and experience
*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
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
