- NTT DATA North America (TX)
- …for NTT DATA and for the people who work here. NTT DATA, Inc. currently seeks a ** Coordination of Benefits ( COB ) Associate** to join our team. Our Client is ... coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound...Tasks:** Using multiple sources, this position will research the Coordination of Benefits ( COB ) for… more
- Molina Healthcare (Santa Fe, NM)
- …records. **Job Duties** + Provides telephone, administrative and data entry support for the coordination of benefits ( COB ) team. + Phones or utilizes other ... 7:00am - 3:30pm in PST Hours** Provides support for coordination of benefits review activities that directly...leads. + Updates the other insurance table on the claims transactional system and COB tracking database.… more
- Highmark Health (Pittsburgh, PA)
- …related to supported technology. Manage utilization review, translation of foreign claims , coordination of benefits ( COB ), and processing of claims ... employees. **GENERAL OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited to the… more
- UPMC (Pittsburgh, PA)
- …+ Competent in MS Office and PC skills preferred. + Working knowledge of COB ( Coordination of Benefits ) preferred. + Ability to demonstrate organizational, ... looking for detail-oriented problem solvers to join our CHC/Medicaid Claims team. This is a full-time hybrid position based...of both worlds. Why this role matters: As a Claims Examiner, you'll play a key role in helping… more
- UPMC (Pittsburgh, PA)
- …keyboard. Competent in MS Office and PC skills preferred. + Working knowledge of COB ( Coordination of Benefits ) preferred. + Ability to demonstrate ... We're looking for detail-oriented problem solvers to join our Claims team. This is a full-time hybrid position based...of both worlds. Why this role matters: As a Claims Examiner, you'll play a key role in helping… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This role ... to prevent future payment errors. The Recovery Manager works in close coordination with internal audit, provider dispute resolution, and finance to maximize cost… more
- Molina Healthcare (Grand Island, NE)
- …relevant education and experience. * Health claims processing experience, including coordination of benefits ( COB ), subrogation and eligibility criteria. ... standards set by the department. * Applies contract language, benefits and review of covered services to claims... benefits and review of covered services to claims review process. * Contacts members/providers as needed via… more
- Molina Healthcare (Kenosha, WI)
- …relevant education and experience. * Health claims processing experience, including coordination of benefits ( COB ), subrogation and eligibility criteria. ... standards set by the department. * Applies contract language, benefits and review of covered services to claims... benefits and review of covered services to claims review process. * Contacts providers as needed via… more
- Baylor Scott & White Health (Temple, TX)
- …standards and guidelines set forth by pharmacy processes to include concerns regarding coordination of benefits ( COB ). Researches and resolves complex issues ... the value of their contract utilizing the Health Plan website for benefits , claims information and prior authorization process. Attends client?s employee… more
- Henry Ford Health System (Detroit, MI)
- …+ Understanding of Medicare and Medicaid regulations and rules with a background in coordination of benefits , preferred. + Must have a good grasp of medical ... insurance coverage is available and the scope of patient benefits are identified prior to services being rendered. Accountable...queues in Epic to assist in the processing of claims . + Serve as a resource to inform patients… more
- The Cigna Group (Morris Plains, NJ)
- …CMS (HIPPA); NCPDP guidelines; Point of Sale; Coordination of Benefit (" COB "); manual submitted claims processing; retail pharmacy network system; CA-7 ... solutions for multiple concurrent projects within an application family such as Claims , C&PS, or CS&DW. + Creates detailed specifications or designs, conducts… more
- Hackensack Meridian Health (Neptune City, NJ)
- …Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB ( Coordination of Benefits ), and reviews physician licensure. ... and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how...to provide education, increase the overall number of clean claims , and decrease the rework necessary to generate clean… more
- Humana (San Juan, PR)
- …medical expenditures for an organization that provides health insurance. This individual ensures Coordination of Benefits ( COB ) records for members who have ... **Preferred Qualifications** + Undergraduate Degree + Bilingual in English/Spanish + Claims Processing Experience **Additional Information** + As part of our hiring… more
- Humana (San Juan, PR)
- …medical expenditures for an organization that provides health insurance. This individual ensures Coordination of Benefits ( COB ) records for members who have ... skills to make an impact** **Required Qualifications** + Significant **subrogation claims handling experience** in healthcare, property and casualty, or worker's… more
- Rush University Medical Center (Chicago, IL)
- …Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired. * Working knowledge of ... Hr (8:30:00 AM - 5:00:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-… more
- Rush University Medical Center (Oak Park, IL)
- …Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired. * Working knowledge of ... Hr (11:00:00 PM - 7:30:00 AM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-… more
- Stony Brook University (East Setauket, NY)
- …and approves Financial Assistance applications. + Investigates and accurately updates insurance coordination of benefits ( COB ), including refund request ... investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims . + Knowledge of CPT, HCPCs and ICD-10 coding principles. +… more