2 Claims Examiner - In-Office Jobs in Rapids, IA
Auxiant is Hiring a Claims Examiner - In-Office Near Rapids, IA
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
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
- Handle correspondence and phone calls from member 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
- QicLink 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
Pay: From $1.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
- In-person
- Office
Work Location: In person
Job Summary
Full Time
Business Services
$54k-69k (estimate)
03/24/2024
07/19/2024
auxiant.com
CEDAR RAPIDS, IA
50 - 100
1999
O'DEEN CHARLES S
$5M - $10M
Business Services
Related Companies
About Auxiant
Auxiant is a Third Party Administrator (TPA) of self-funded benefit plans. Our specialty is customization, technological tools for clients and individuals, and cost-control and health management. We provide administration for over 40,000 employees from our administrative offices in Madison Wisconsin and Cedar Rapids, Iowa. Our Sales offices are in Cedar Rapids, Iowa and Milwaukee, Wisconsin. TPAs are one of the best-kept secrets in the country. Many people do not know TPA firms exist-yet about 2/3 of all employee benefit plans in the U.S. use TPA services. As a TPA, we are dedicated to taking ...excellent care of the employer and the individuals covered under their employer-sponsored health plans. A health plan is a highly valued component of a company's employment package. With the rising costs of medical care, a health plan has also become a major employer expense. We know how important careful administration of an employer health plan is. We believe it is important to provide our plans with cost-management strategies, while providing plan participants with tools to help them deal with the complexities of health care purchasing. Auxiant uses the inVentiv Medical Management family of products as part of our arsenal of tools to help plan sponsors achieve the lowest medical spend. Auxiant is member of the Society of Professional Benefit Administrators (SPBA) and Society of Self Insured Administrators (SIIA). In addition, Auxiant is SAS70 Type II compliant.
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