Healthcare Coordination of Benefits Analyst
BASF
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $20 - $23 per hour
About the role
- Review assigned pre-pay or post-pay records, investigate coverage, and determine primacy to maximize revenue for client’s recovery programs.
- Review eligibility and other documentation to verify current payer order of benefits.
- Leverage knowledge and expertise in COB/TPL to review eligibility.
- Identify trends from payer data to process appropriately per client and business needs.
- Contact Healthcare Insurance carriers regarding eligibility discrepancies.
- Educate Healthcare Insurance carriers on Coordination of Benefits rules.
- Analyze written communication from insurance companies including explanation of benefits (EOBs).
- Support internal groups with gathering and interpretation of eligibility work.
- Follow standards of quality and productivity metrics assigned by management.
Requirements
- High School diploma or GED.
- Minimum 2 years of directly relevant progressive experience in Healthcare with a focus including but not limited to claims, billing, membership, enrollment, eligibility, customer service and/or call center demonstrating depth of knowledge and capability required for the position.
- 12 months direct experience in COB, TPL, Reclamation and/or Recovery is preferred.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
COBTPLclaimsbillingmembershipenrollmenteligibilitycustomer servicecall centerrecovery
Soft Skills
communicationinvestigativeanalyticaleducationalorganizational
Certifications
High School diplomaGED