Processor, Coordination of Benefits

Molina Healthcare•Long Beach, CA

11h

About The Position

Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. The role primarily coordinates benefits with other carriers responsible for payment and provides administrative support, data entry, and accurate maintenance of other insurance records.

Requirements

At least 1 year of administrative support experience, or an equivalent combination of relevant education and experience.
Customer service skills.
Attention to detail, organizational and time-management skills, and the ability to manage simultaneous projects and tasks to meet internal deadlines.
Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
Effective verbal and written communication skills.
Proficiency with Microsoft Office suite and applicable software programs.

Nice To Haves

Health care experience.

Responsibilities

Provide telephone, administrative, and data entry support for the coordination of benefits (COB) team.
Phone or use other insurance company portals to validate state, vendor, and internal COB leads.
Update the other insurance table on the claims transactional system and the COB tracking database.
Contact the Centers for Medicare and Medicaid Services (CMS) directly, or coordinate with the assigned company contact to log tickets for premium restoration, such as Medicare Secondary Payer (MSP) and End-Stage Renal Disease (ESRD).