Benefit Setup Specialist

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 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:

• 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