Claims Examiner
Auxiant•Madison, WI
•Onsite
About The Position
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. This role is responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients.
Requirements
- 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
- Medical Terminology
- High school diploma and 1-2 years related experience; or equivalent combination of education and experience
Nice To Haves
- QicLink experience
Responsibilities
- Process claims in a timely manner with acceptable accuracy
- Answer inbound phone calls from members and providers.
- Handle correspondence from members 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
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
Entry Level
Education Level
High school or GED
