Coordination of Benefits Processor

Job Summary

Providing administrative support in a remote setting, the full-time Coordination of Benefits Processor will manage coordination of benefits review activities, validate insurance coverage, and maintain accurate records to impact medical expenses and premium reimbursement.

Key responsibilities

• Validates external medical and pharmacy coverage through various methods, including provider portals and outbound calls
• Researches and verifies Coordination of Benefits (COB) leads through outreach to insurance carriers and online resources
• Processes provider disputes and submits claim adjustments to ensure accurate payment based on validated COB information

Required qualifications

• At least 1 year of administrative support experience or equivalent education and experience
• Proficiency in Microsoft Office Suite and applicable software programs
• Experience in healthcare or administrative healthcare roles
• Ability to work collaboratively across a matrixed organization
• Strong organizational and time-management skills