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Plan Builder at Auxiant – Madison, Wisconsin

Auxiant
Madison, Wisconsin, 53713, United States
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About This Position

Description:

https://www.auxiant.com/

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 Plan Builder. 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:

You will be responsible for interpreting complex health benefits information from written documents and accurately inputting the relevant data into our claims processing system.

Essential Functions:

  • Analysis and configuration of group benefit health plans
  • Demonstrate organized and effective project management skills
  • Participate in internal and external meetings regarding plan designs and coding
  • Improve system auto adjudication through claims logic coding and plan design
  • Create/Modify summary of benefits for each new/changed plan
  • Cross-audit plan documents for benefit accuracy
  • Answer processor questions regarding benefits and plan build
  • Suggest improvements in processes

Nonessential Functions:

  • Other duties as assigned or appropriate

Education/Qualifications:

  • Ideal candidate will have 2 plus years of self-funded health insurance industry experience, with experience in benefit programming and specific knowledge of Trizetto’s Qiclink claims software.
  • Strong knowledge of health insurance terminology, coding systems (e.g., CPT, ICD-10), and industry practices.
  • Excellent attention to detail and the ability to interpret complex documents accurately.
  • Effective communication skills and the ability to collaborate with cross-functional teams.
  • Ability to work in a fast-paced environment and meet tight deadlines

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

Requirements:

Job Location

Madison, Wisconsin, 53713, United States
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Job Location

This job is located in the Madison, Wisconsin, 53713, United States region.

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