- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking ** Coordination of Benefits Claims Associates** to join our US remote team. This is a 6-month Temp role. **Summary:** Using ... multiple sources, this position will research the Coordination of Benefits ( COB ) for...coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound… more
- NTT DATA North America (TX)
- …General Duties and Tasks:** Using multiple sources, this position will research the Coordination of Benefits ( COB ) for potential dual coverage by ... who work here. NTT DATA, Inc. currently seeks a ** Coordination of Benefits Associate** to join our...coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound… more
- NTT DATA North America (Plano, TX)
- …executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Coordination of Benefits Associate** to join our team for a **remote** position. ... coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound...and other qualifications. This position is eligible for company benefits that will depend on the nature of the… more
- NTT DATA North America (TX)
- …DATA and for the people who work here. NTT DATA, Inc. currently seeks a ** Coordination of Benefits Associate** to join our team working remote. Start Date: ... coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound...and other qualifications. This position is eligible for company benefits that will depend on the nature of the… more
- YesCare Corp (Goshen, NY)
- …into the YesCare transactional system upon approval to ensure accurate Coordination of Benefits ( COB ) on inpatient claims . + ** Coordination of ... a physician's office or with medical records management. + Strong knowledge of Coordination of Benefit ( COB ) provisions in commercial, Medicaid, or Medicare… more
- Molina Healthcare (Cincinnati, OH)
- …**ESSENTIAL JOB DUTIES:** + Provides telephone, administrative and data entry support for the coordination of benefits ( COB ) team. + Phones or utilizes other ... **JOB DESCRIPTION** **JOB SUMMARY:** Provides support for coordination of benefits review activities that...leads. + Updates the other insurance table on the claims transactional system and COB tracking database.… more
- East Boston Neighborhood Health Center (Revere, MA)
- …reports to other departments. Insurance Department: * Must maintain up-to-date knowledge of Coordination of Benefits . * In conjunction with the Supervisor of ... To learn more about working at NeighborHealth and our benefits , please visit out our Careers Page (http://careers.ebnhc.org) ....Ocean Avenue - Revere Position Summary: Position Summary: The Claims Analyst, under the direction of the Manager of… more
- Highmark Health (Pittsburgh, PA)
- …related to supported technology. Manage utilization review, translation of foreign claims , coordination of benefits ( COB ), and processing of claims ... employees. **GENERAL OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited to the… more
- Molina Healthcare (Cedar Rapids, IA)
- …made to providers. * Completes basic validation prior to offset to include, eligibility, coordination of benefits ( COB ), standard of care (SOC) and ... overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. * Maintains and reconciles… more
- NTT America, Inc. (Plano, TX)
- …criteria for clearing pending claims based on defined Policy and Procedure. + Coordination of Claim Benefits based on the Policy & Procedure. + Maintain ... and resolve for payment and Denials + Knowledge in handling authorization, COB , duplicate, pricing and corrected claims process + Knowledge of healthcare… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This role ... to prevent future payment errors. The Recovery Manager works in close coordination with internal audit, provider dispute resolution, and finance to maximize cost… more
- NTT DATA North America (TX)
- …General Duties and Tasks:** Using multiple sources, this position will research the Coordination of Benefits ( COB ) for potential dual coverage by ... who work here. NTT DATA, Inc. currently seeks a ** Coordination of Benefits Representative** to join our...coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound… more
- BlueCross BlueShield of North Carolina (NC)
- …strategy to deliver year-over-year growth and achieve savings target(s) within the COB and Data Mining vertical. + Ensure business plans and industry analysis, ... + 7 years leadership experience **Preferred skills** + Extensive knowledge of coordination of benefit primacy rules for commercial and Medicare lines of business,… more
- Elevance Health (Indianapolis, IN)
- …complex rules, laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits ( COB ) function including reconciliation of ... and NAIC rules and comparing them against the member/groups benefits . + Updates all of the company's membership system...identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the… more
- Insight Global (Nottingham, MD)
- …and why. * Identify and resolve technical denials related to coding, coordination of benefits (COBs), charge discrepancies, contract interpretation, etc. Payer ... The representative ensures accurate reimbursement by analyzing Explanation of Benefits (EOBs), identifying discrepancies, and initiating corrective actions with… more
- Molina Healthcare (Houston, TX)
- …relevant education and experience. * Health claims processing experience, including coordination of benefits ( COB ), subrogation and eligibility criteria. ... standards set by the department. * Applies contract language, benefits and review of covered services to claims... benefits and review of covered services to claims review process. * Contacts members/providers as needed via… more
- Hackensack Meridian Health (Edison, NJ)
- …Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB ( Coordination of Benefits ), and reviews physician licensure. ... and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how...to provide education, increase the overall number of clean claims , and decrease the rework necessary to generate clean… more
- The Cigna Group (Morris Plains, NJ)
- …CMS (HIPPA); NCPDP guidelines; Point of Sale; Coordination of Benefit (" COB "); manual submitted claims processing; retail pharmacy network system; CA-7 ... solutions for multiple concurrent projects within an application family such as Claims , C&PS, or CS&DW. + Creates detailed specifications or designs, conducts… more
- Rush University Medical Center (Oak Park, IL)
- …Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired. * Working knowledge of ... Hr (8:30:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-… more
- Rush University Medical Center (Oak Park, IL)
- …Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired. * Working knowledge of ... Hr (11:00:00 PM - 7:30:00 AM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-… more