Be part of a growing and prospering company as a Claims Examiner for our Cedar Rapids, IA 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.
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
Other duties as assigned or appropriate
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
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