Medical Management Coordinator

Auxiant•Cedar Rapids, IA

11d

About The Position

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 Medical Management Coordinator. 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: Serve as a liaison for Auxiant’s Medical Management program. The individual will be capable to make sound decisions based on the best interest of the client and participants. The position will also work closely with the Medical Management Supervisor in a supportive role. The individual will need to be efficient, accurate and excellent at multi-tasking. This entry-level position is an opportunity to build a solid foundation of Operations daily activities.

Requirements

High school diploma and 2-4 years related experience; or Associates or Bachelor’s degree with some related experience
General understanding of medical terminology
The ability to work independently.
The ability to load balance work.
Proficient PC skills including e-mail, record keeping, routine database activity, word processing, spreadsheet,10-key
Proven experience in a professional office environment
Outstanding written and verbal communication skills
Excellent mathematics and analytical skills

Responsibilities

Coordinate with Case Management and make decisions based on the Plan Document
Make clear and concise decisions in the best interest of clients and plan participant
Running reports for claim suspends
Coordinate with Claims surveillance partners
Running Trigger Referral reports
Claims processing
Claims research
Data-entry