Plan Builder - Remote

Overview

As a Plan Builder at Auxiant, you will be responsible for interpreting complex health benefits information and accurately inputting data into the claims processing system.

In Short

• Analyze and configure 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.

Requirements

• 2+ years of self-funded health insurance industry experience.
• Experience in benefit programming and knowledge of Trizetto’s Qiclink claims software.
• Strong knowledge of health insurance terminology and coding systems (e.g., CPT, ICD-10).
• Excellent attention to detail and document interpretation skills.
• Effective communication skills and collaboration ability.
• Ability to work in a fast-paced environment and meet deadlines.

Benefits

• Medical, Dental, Vision coverage.
• Flexible Spending Account.
• Gym Membership Reimbursement.
• Life Insurance, LTD, STD.
• 401K plan.
• 3 weeks vacation and 9 paid holidays.
• Casual dress code.