Benefits Coordinator

A busy medical insurance company is in need of 5 Coordinators of Benefits Specialists for about a month long project.
Benefits Coordinator - TEMP (ends 5/21) - $17-23 PAY - 4 NEEDED
Job Summary: The Coordination of Benefits (COB) Specialist is responsible for optimizing COB recovery efforts by identifying and investigating members for other insurance coverage. The COB Specialist is responsible for partnering with our providers and members to respond to and resolve incoming COB inquiries and appeals. The Specialist is expected to take complete responsibility for every interaction with a provider and a member by providing outstanding service. The Specialist is also responsible for accurate and timely processing of COB claims, completing activity reports, communicating COB policies to internal and external sources, and supporting the recovery efforts of the department. Key Functions/Responsibilities: - Responds to provider and member phone calls and correspondence including but not limited to claim adjustments requests, appeals, corrected claims, timely filings and projects. - Investigates members for other insurance through phone calls, questionnaires, provider inquiries and claims in order to optimize savings to the Plan. - Accurately processes COB claims in Facets, including retractions, denials, repayments and secondary balances.
Education: - Bachelor's Degree in Business, Healthcare Administration or related fields; or an equivalent combination of education, training, and experience is required. Experience: - Four or more years of progressively responsible experience in a healthcare or managed care field required. Preferred/Desirable: - Experience in COB claims processing, and experience in a Medicaid MCO setting highly preferred. Certification or Conditions of Employment: - Pre-employment background check Competencies, Skills, and Attributes: - Proficient PC skills including all Microsoft Office products required
Working hours: 8:30 - 5p
If you are interested in this opportunity, please send interest with an updated resume directly to this job positing or send it to bobby.demarco@randstadusa.com
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Salary: $17 - 23 per hour + none

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