Remote COB Claims Auditor

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, Nov 17, 2020

This job expires in 16 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company has an open position for a Remote COB Claims Auditor.

Core Responsibilities Include:

  • Reviewing leads completed by the COB analysts and automated work queues
  • Determining which claims are eligible for recovery within the COB overlap period
  • Recovering incorrectly paid or processed claims through the claims adjustment process

Required Skills:

  • 4+ years experience in Revenue Cycle Management or Coordination of Benefits
  • High School Diploma
  • Familiarity with provider billing practices
  • Experience in RCM, TPL, and/or COB for Medicaid and/or Commercial payers required
  • Experience in determining primacy for coordination of benefits and NAIC guidelines
  • Ability to work in a fast paced and team environment with a positive attitude