Medical Claims Coordinator - Hybrid

Auxiant•Cedar Rapids, IA

16d•Hybrid

About The Position

Operate at the center of the organization with daily responsibilities to monitor, audit, and file stop loss insurance claims on behalf of customer contracts. 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, and family-oriented company offering an excellent wage and benefit package.

Requirements

Excellent written/verbal communication skills to include the ability to interact professionally with diverse group of vendors, managers, customers and employees
Excellent time management and organizational skills
Strong aptitude for analytical thinking and comprehension of complex concepts
Proficient PC skills including e-mail, MS Word, MS Excel
Basic accounting skills
Some College and 1-2 years related experience; or equivalent combination of education and experience

Nice To Haves

Database / MS Access experience a plus

Responsibilities

Review weekly reports to identify stop loss cases
Submit potential loss notices to stop loss carriers for members over 50% of the specific deductible
Prepare and file stop loss claims to the stop loss carriers
Assemble and submit additional information to carriers as requested
Audit files at contract year-end
Request work status information from group contact
Monitor account balances for groups with aggregate only coverage
Review high dollar claims to see if they need to be split
Record data as it pertains to stop loss submissions
Process funding received from stop loss carrier
Run, review, and post month-end reports
Other duties as assigned or appropriate