Senior Healthcare Coordination of Benefits, COB Analyst
BASF
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $47,900 - $63,500 per year
Job Level
Senior
About the role
- Review and analyze large volumes of client pre-pay and/or post-pay records
- Investigate coverages for eligibility and determine primacy
- Educate and resolve discrepancies with insurance carriers, employers, and/or providers
- Maximize revenue for client recovery programs
- Leverage strong knowledge and expertise in COB/TPL/EOB to gather and review eligibility
- Analyze and understand written communication from insurance companies
- Provide ongoing feedback to Management and Analytics Teams
- Assist Management on assigned projects (including ramping up new client programs), client requests, regular reporting, data analysis and reconciliations, testing, and analytics reviews
Requirements
- High School diploma or GED; college and/or relevant certification preferred
- Minimum 4 years of directly related progressive experience (claims, billing, eligibility, Medicaid, EOB, etc.)
- Minimum 1 year of experience in a function demonstrating the ability to lead or make strong contributions to initiatives involving operations workflow, data reporting and analysis, contributing to the set-up of new clients or programs, or subject matter expertise applied to department workflows or projects, direct or indirect staff oversight or training, etc.
- Strong knowledge and substantial experience with Healthcare billing, medical terminology, and high-level medical coding
- Proven strength gathering and interpreting Explanation of Benefits (EOB) to answer questions and resolve complex primacy issues.
- Strong skills using standard office technology; computer, various applications and navigation of on-line tools and resources, keyboard, mouse, phone, headset.
- Intermediate to advanced Microsoft Excel skills with demonstrated skills analyzing large data sets relevant to the position.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysismedical codingclaims processingbillingeligibility determinationrevenue maximizationdata reportingEOB interpretationCOBTPL
Soft skills
communicationproblem-solvingleadershipcollaborationfeedback provisiontraininginitiative contributionorganizational skillsdiscrepancy resolutionclient education
Certifications
High School diplomaGEDrelevant certification