Claims Examiner Job Madison area,Wisconsin USA,Healthcare

Description

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 Claims Examiner. 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
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.

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
Qic Link 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

Job Type: Full-time

Schedule:

8 hour shift
Day shift
Monday to Friday

Work Location:

In person

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