Offer summary

Qualifications:

High School diploma or GED required., Knowledge of standard Coordination of Benefits (COB) policies, including Medicare and Medicaid., Working knowledge of MS Office Suite is essential., Experience in claims processing is preferred..

Key responsabilities:

Update COB records in claims systems and determine order of benefits.

Coordinate with Cost Containment staff for recovery purposes.

Prepare weekly reports for inventory control and document adjudication errors.

Open and sort mail, distributing COB reprocess requests to various departments.

Job description

This position is responsible for updating Coordination of Benefits (COB) records in all claims systems as well as determining order of benefits. Coordination of positive COB responses with the Cost Containment staff will be necessary for recovery purposes.

Researches and enters data of COB leads.
Provides documentation of adjudication errors for management and examiners.
Designates workflow of positive entries and coordinate efforts with Recovery Auditors.
Prepares weekly reports for inventory control purposes.
Opens and sorts mail, distribute to various departments (COB reprocess requests).

Other Job Requirements

Responsibilities

Knowledge of standard coordination of benefits policies, as well as policies for coordination with Medicare and Medicaid.
Working knowledge MS Office Suite.
Knowledge of standard industry Coordination of Benefits (COB) policies.

General Job Information

Title

Coordination of Benefits Specialist

Grade

Work Experience - Required

Claims

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$31,175

Salary Maximum:

$46,765

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Required profile