Coordination of Benefits Specialist

Responsibilities: Investigate and determine the correct order of benefits for members with multiple health insurance plans while ensuring compliance with Medicare and federal regulations. Communicate with insurance carriers, providers, and members to validate coverage and document findings accurately in company systems.

Requirements: Requires a minimum of 2 years of experience in Coordination of Benefits or 4+ years in related healthcare billing and claims roles. Candidates must possess strong knowledge of CMS and NAIC guidelines along with proficiency in Microsoft Office.

Key skills: Coordination Of Benefits, Medicare Regulations, Insurance Verification, Medical Billing, Healthcare Claims Processing, Claims Auditing, Medical Reimbursement, Healthcare Data Analysis, Medical Terminology, HIPAA Compliance, Microsoft Office, Customer Service, Analytical Skills, Research, Critical Thinking, Communication

Keywords: Coordination Of Benefits, COB, Medicare, CMS, NAIC Guidelines, Insurance Eligibility, EOB, HIPAA, Medical Billing, Healthcare Claims, Payer, Provider, Insurance Verification, Healthcare Data Analysis, Remote Work, Microsoft Word, Microsoft Excel, Microsoft Outlook