Qureos Mentor

Auxiant

<div>https://www.auxiant.com/
Auxiant&rsquo;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 Benefit Setup Specialist. 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:<ul><li>
Analysis and configuration of group benefit health plans</li><li>
Demonstrate organized and effective project management skills</li><li>
Participate in internal and external meetings regarding plan designs and coding</li><li>
Improve system auto adjudication through claims logic coding and plan design</li><li>
Create/Modify summary of benefits for each new/changed plan</li><li>
Cross-audit plan documents for benefit accuracy</li><li>
Answer processor questions regarding benefits and plan build</li><li>
Suggest improvements in processes</li></ul>
Nonessential Functions:<ul><li>
Other duties as assigned or appropriate</li></ul>
Education/Qualifications:<ul><li>
Ideal candidate will have 2 plus years of self-funded health insurance industry experience, with experience in benefit programming and specific knowledge of Trizetto&rsquo;s Qiclink claims software.</li><li>
Strong knowledge of health insurance terminology, coding systems (e.g., CPT, ICD-10), and industry practices.</li><li>
Excellent attention to detail and the ability to interpret complex documents accurately.</li><li>
Effective communication skills and the ability to collaborate with cross-functional teams.</li><li>
Ability to work in a fast-paced environment and meet tight deadlines</li></ul>
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</div>

Benefit Setup Specialist

<div>https://www.auxiant.com/
Auxiant&rsquo;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 an Account Manager. 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:<ul><li>
Consult with assigned clients on issues regarding their self-funded health plan, including claim processing, renewals, enrollment, service levels, contracts, plan documents, amendments, etc.</li><li>
Communicate with external customers (group contacts, employees, vendors, brokers) and internal team members (claims, enrollment, accounting, stop loss, compliance and marketing).</li><li>
Respond to client requests in a quality and timely manner.</li></ul>
Essential Functions:<ul><li>
Work closely with sales consultants to transition new clients to Auxiant.</li><li>
Handle essential functions on client renewals.</li><li>
Develop and maintain positive client relations to ensure business retention.</li><li>
Proactively monitor customer satisfaction through regularly scheduled communications (i.e., enrollment meetings, service visits, telephone contact, or written correspondence).</li><li>
Develop, recommend, and implement appropriate actions as needed to resolve client dissatisfaction.</li><li>
Educate and update clients about Auxiant&rsquo;s services and products.</li><li>
Ensure internal and external documents are prepared to be in compliance with the Plan (i.e., plan document, amendments, transmittals, administrative agreements, etc.).</li><li>
Interact with external customers in a social setting.</li></ul>
Nonessential Functions:<ul><li>
Other duties as assigned or appropriate</li></ul>
Education/Qualifications:<ul><li>
Knowledge of self-funded or fully-insured health plans (HIPAA, DOL regulations, ERISA, medical terminology and claims processing preferred but not required).</li><li>
PC skills including Microsoft Office suite of products (Outlook, Excel, Word and PowerPoint).</li><li>
Previous experience in a professional office environment.</li><li>
Previous experience with customer relations.</li><li>
Excellent interpersonal, written/verbal communication and presentation skills.</li><li>
Ability to multi-task.</li><li>
Willingness to travel as needed.</li><li>
Valid driver&rsquo;s license.</li><li>
Bachelor&rsquo;s degree and 2-4 years related experience; or equivalent combination of education and experience.</li><li>
Insurance license to be obtained.</li></ul>
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</div>

Account Manager - Remote

Account Manager - In Office or Hybrid

Join Auxiant and explore 4   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Auxiant

About Company

Benefit Setup Specialist

Benefit Setup Specialist

Account Manager - Remote

Account Manager - In Office or Hybrid