Coordination of Benefits Specialist
Job Summary
Detail-oriented and experienced in healthcare, the full-time remote Coordination of Benefits Specialist will investigate insurance coverage, determine the correct order of benefits, and ensure accurate claims processing while adhering to Medicare and federal regulations.
Key Responsibilities
- Investigate and determine the correct Coordination of Benefits (COB) for members with multiple health insurance plans
- Contact insurance carriers and healthcare providers to validate coverage information and ensure compliance with regulations
- Document findings accurately in company systems while maintaining detailed records and meeting productivity goals
Required Qualifications
- Minimum of 2 years of healthcare experience involving Coordination of Benefits (COB) or 4+ years in insurance verification, medical billing, or healthcare claims processing
- Working knowledge of Coordination of Benefits (COB) guidelines and Medicare (CMS) regulations
- Understanding of medical terminology and healthcare eligibility processes
- Strong investigative and research skills
- Proficiency with Microsoft Office (Word, Excel, and Outlook)
Complete Job Description
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