BASF

We create chemistry for a sustainable future

Healthcare Coordination of Benefits Analyst

AnalystAnalystFull TimeRemoteTeam 10,001+Since 1865H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

10 days ago

Salary

$20 - $23 / hour

High School2 yrs expEnglish

Job Description

• Review assigned pre-pay or post-pay records, investigate coverage, and determine primacy to maximize revenue for client’s recovery programs. • Review eligibility and other documentation to verify current payer order of benefits. • Leverage knowledge and expertise in COB/TPL to review eligibility. • Identify trends from payer data to process appropriately per client and business needs. • Contact Healthcare Insurance carriers regarding eligibility discrepancies. • Educate Healthcare Insurance carriers on Coordination of Benefits rules. • Analyze written communication from insurance companies including explanation of benefits (EOBs). • Support internal groups with gathering and interpretation of eligibility work. • Follow standards of quality and productivity metrics assigned by management.

Job Requirements

  • High School diploma or GED.
  • Minimum 2 years of directly relevant progressive experience in Healthcare with a focus including but not limited to claims, billing, membership, enrollment, eligibility, customer service and/or call center demonstrating depth of knowledge and capability required for the position.
  • 12 months direct experience in COB, TPL, Reclamation and/or Recovery is preferred.

Benefits

  • medical
  • dental
  • vision
  • HSA/FSA options
  • life insurance coverage
  • 401(k) savings plans
  • family/parental leave
  • paid holidays
  • paid time off annually

Related Categories

Related Job Pages

More Analyst Jobs

Board Certified Behavior Analyst, BCBA

Bierman Autism Centers

Since 2006: Providing Best in Class Training, Development & Growth | ABA Therapy | Speech Therapy | OT | Diagnostics

Analyst10 days ago
Full TimeRemoteTeam 501-1,000Since 2006H1B No Sponsor

Behavior Analyst (BCBA) overseeing client programming and success

MacOSTableau
Arizona
$87K - $120K / year

Bridges Analyst III

Boston Medical Center (BMC)

We’re providing accessible and exceptional care to make a healthier Boston.

Analyst10 days ago
Full TimeRemoteTeam 5,001-10,000Since 1996H1B No Sponsor

Senior Applications Analyst III aligning technology with business strategies at Boston Medical Center

Massachusetts
$89.5K - $130K / year

Appeals Analyst

Highmark Health

Creating remarkable health experiences, freeing people to be their best.

Analyst10 days ago
Full TimeRemoteTeam 10,001+Since 1852H1B Sponsor

Appeals Analyst reviewing and coordinating grievance inquiries for Highmark Health

Louisiana + 4 moreAll locations: Louisiana, North Carolina, Maryland, Pennsylvania, Washington
$21 - $32 / hour

Data Services Retirement Plan Analyst

Oregon Department of Human Services

Helping Oregonians achieve wellbeing through opportunities that protect, empower, respect choice and preserve dignity.

Analyst10 days ago
Full TimeRemoteTeam 10,001+H1B No Sponsor

Data Services Retirement Plan Analyst auditing and resolving retirement pension account data

Oregon
$4.3K - $6.0K / month