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Claims Examiner Operations	Full-Time Posted all
Claims Examiner - Madison Job Summary 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 Apply here
Administrative Processor Operations	Full-Time Posted all
Administrative Processor Job Summary 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 an Administrative Processor 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: Receive, process, and track prescription vendor invoices, vendor fees, other related items. Provider backup for other administrative duties as assigned. Regularly deals with data of a confidential or sensitive nature where judgment and tact are required to maintain or disseminate it. Essential Functions: · Receive and process inbound invoices/fees from our client’s prescription/other vendors that they utilize within their health plan. · Correspond with PBM’s and vendors regarding invoices/payments/processing · Handle vendor history claim loading process with precision and accuracy. · Provide back up on other duties of the administrative staff including mailroom duties, front desk coverage, support for the COBRA and provider maintenance teams. · Further duties/projects as assigned or appropriate Education/Qualifications: · Excellent interpersonal, written/verbal communication · Excellent time management and organizational skills with the ability to handle multiple projects, meet established deadlines and change as business needs require · Proficient PC skills including e-mail, record keeping, routine database activity, word processing, spreadsheet,10-key · Proven experience in a professional office environment · Good problem solving/analytical/math skills. *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 Apply here
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