Senior COB Data Mining Analyst

Job Summary

A company is looking for a Senior Healthcare Coordination of Benefits (COB) Data Mining Analyst.

Key Responsibilities

• Conducts COB investigations and claims reviews to ensure compliance with relevant guidelines and regulations
• Documents findings and provides support for client business processes related to claim recovery
• Collaborates with the audit team to identify vulnerabilities and contributes to process improvement initiatives

Required Qualifications

• Bachelor's degree or equivalent experience in the healthcare industry
• 8+ years of experience in eligibility or claims analyst roles
• 5+ years of experience with claims processing systems
• 5+ years of experience working with large volumes of membership or eligibility data
• Previous COB claims recovery experience is required