The COB Coordinator assumes responsibility for maintaining and updating Health Alliance Medical Plans system with information regarding other insurance that may be effective for our members. Responsible for working/adjudicating any claims pended for coordination of benefits and/or workers' compensation.
One (1) Business and One (1) Computers/Information Technology and One (1) Customer Care/Support. Experience typing and using a calculator.
Ability to organize and prioritize is essential. Must be able to project a professional, pleasant image, while interacting with a variety of personalities and cultures. Must demonstrate tact and diplomacy in interpersonal interactions. Should have strong communication and customer service skills and respect for confidentiality.
Requests, receives, researches and responds to telephone calls, letters, claims, and other insurance explanation of payments, regarding coordination of benefits and/or workers compensation.
Assumes responsibility for accuracy and timeliness of COB/Work Comp claims, update and documentation to the claims payment system, following established guidelines.
Investigates and resolves claims adjudication disputes related to COB/Work Comp.
Acts as technical support for Customer Service and other internal departments.
Responsible for completion of various departmental reports.
Reviews, updates, and scans documentation to maintain electronic folders.
Full - Time