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 process claims accurately.

Requirements: Requires at least 2 years of COB experience or 4+ years in related healthcare fields such as medical billing or claims processing. Must have strong knowledge of CMS and NAIC guidelines and 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, Critical Thinking, Customer Service, Research, Analytical Skills, Communication

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