Processor, COB Review

Molina Talent Acquisition
91d

About The Position

Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible for payment. This requires the maintenance of other insurance records and has a direct impact on medical expenses and premium reimbursement.

Requirements

  • HS Diploma or GED
  • 1-3 years’ experience in an administrative support.

Nice To Haves

  • Associate degree
  • 3+ years’ experience in an administrative support role.

Responsibilities

  • Provides telephone, clerical, and data entry support for the 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 CMS directly or coordinates with the Company's assigned contact to log tickets for premium restoration such as Medicare Secondary Payer and ESRD.

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What This Job Offers

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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