Processor, Coordination of Benefits
New
J
JobgetherHealthcare
United StatesFull-TimeEntry
Salary12.19 - 26.42 USD per hour
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Job Details
- Experience
- At least 1 year of administrative support experience
- Required Skills
- Microsoft Office SuiteCustomer serviceData entry
Requirements
- At least 1 year of administrative support experience, or an equivalent combination of education and experience.
- Proficiency with Microsoft Office Suite and other applicable software applications.
- Ability to perform accurate and consistent data entry.
- Strong attention to detail for reviewing and entering insurance information.
- Strong organizational and time-management skills.
- Ability to manage multiple projects, requests, and tasks simultaneously.
- Strong verbal and written communication skills.
- Ability to establish and maintain effective relationships with stakeholders.
- Healthcare industry experience is preferred.
- Familiarity with coordination of benefits, Medicare, or other health insurance processes is a plus.
Responsibilities
- Provide telephone, administrative, and data-entry support to the coordination of benefits team.
- Coordinate benefits information with other insurance carriers responsible for payment.
- Contact insurance companies by phone or online portals to validate leads.
- Research and verify insurance coverage information to support accurate claims processing.
- Update insurance records and maintain accurate information in tracking databases.
- Contact the Centers for Medicare and Medicaid Services (CMS) as required.
- Support Medicare Secondary Payer (MSP) and End-Stage Renal Disease (ESRD) premium restoration activities.
- Communicate with internal and external stakeholders to clarify coverage information.
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