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 communicate with insurance carriers and healthcare providers to ensure accurate claims processing.

Key Responsibilities

• Investigate and determine the correct Coordination of Benefits (COB) for members with multiple health insurance plans
• Review insurance eligibility and documentation to verify the proper payer order
• Contact insurance carriers and healthcare providers to validate coverage information and resolve complex eligibility issues

Required Qualifications

• Minimum of 2 years of healthcare experience involving Coordination of Benefits (COB) or 4+ years in related fields such as insurance verification or medical billing
• 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)