Processor, Coordination of Benefits

JOB DESCRIPTION Job SummaryProvides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Reponsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records. Essential Job Duties • Provides telephone, administrative and data entry support for the coordination of benefits (COB) team. • Phones or utilizes other insurance company portals to validate state, vendor and internal COB leads. • Updates the other insurance table on the claims transactional system and COB tracking database. • Contacts Centers for Medicare and Medicaid Services (CMS) directly, or coordinates with the assigned company contact to log tickets for premium restoration such as Medicare Secondary Payer (MSP) and End-Stage Renal Disease (ESRD). Job Requirements • At least 1 year of administrative support experience, or eq...