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
Job Summary: To serve as a point of contact and resources for our plan sponsors, providers and internal customers
Essential Functions:
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Application processing all Enrollments/changes/terminations for current clients
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Understanding 3rd Parties Enrollment Files & Connect when making enrollment entries per processes
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Answer phone calls from employees, Client contacts and providers. Understanding of the questions and concerns from callers and responding timely and accurately.
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Creating ID Cards via requests from members, clients. Auditing ID cards to ensure accuracy
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Create Certificate of Creditable Coverages when appropriate
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Processing Coordination of Benefits (COB) and updating QicLink appropriately how claims are to be processed (Primary or Secondary)
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Managing Weekly Inventory to ensure the processing of assigned inventory is completed timely, efficiently and accurately.
Nonessential Functions:
Requirements:
Education/Qualifications:
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Excellent written and oral communication skills required; Ability to make verbal presentations
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Ability to perform in a high pace working environment
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Ability to multi-tasks multiple processes
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Knowledge of and proven proficiency in the use of Microsoft Office applications including extensive knowledge of Word, Outlook and Excel required
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Ability to learn and effectively use insurance enrollment software
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Excellent organizational skills and the ability to pay attention to detail required
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Excellent problem solving and analytical abilities required
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High school graduation or equivalent required; 1-3 years’ experience in insurance services, business administration or related field preferred
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Experience in health plan enrollment or an insurance or HMO related environment highly desirable
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Previous customer service experience preferred
Physical and mental demands: Must be able to remain in a stationary position up to 8 hours a day, move or traverse about the office to access office machinery, regularly moving objects up to 5 lbs. Consistently operate a computer and other office machinery such as telephones, printers, scanners etc. Communicate and effectively detect and exchange information on a continual basis.
Working Conditions: Office environment, stable indoor temperatures ~70 degrees