Processor, COB Review

Molina Healthcare • Long Beach, OH

3d

About The Position

JOB SUMMARY: Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.

Requirements

• At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
• Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Strong verbal and written communication skills.
• Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
• Microsoft Office suite proficiency.

Nice To Haves

• Health care experience

Responsibilities

• 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.
• Review of claims identified for overpayment recovery.

Benefits

• Molina Healthcare offers a competitive benefits and compensation package.
• Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees