Processor, Coordination of Benefits

Molina Healthcare•Long Beach, CA

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. 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).

Requirements

At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
Customer service skills.
Attention to detail, organizational and time-management skills; 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.
Microsoft Office suite and applicable software programs 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.
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).