Coordination of Benefits Processor (Remote)

Molina Healthcare; Northern (KY); Hybrid; USD 17,000 - 36,000; Full time

Job summary

Molina Healthcare is hiring a Coordination of Benefits Processor for remote work across multiple locations. The role focuses on coordinating benefits with other carriers and supporting COB activities that impact medical expenses and premium reimbursements.

Candidates should have healthcare experience, strong MS Office skills, and excellent attention to detail. The position requires at least 1 year of administrative healthcare experience and a solid work history, with emphasis on customer service

Qualifications

• Healthcare experience in a healthcare setting.
• Strong administrative healthcare experience.
• High attention to detail and accuracy.
• Solid work history and reliability.
• Customer service skills are essential.

Responsibilities

• Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
• Phones or utilizes other insurance portals to validate state, vendor and internal COB leads.
• Updates the other insurance table on the claims transactional system and COB tracking database.
• Coordinates with CMS or company contact to log tickets for premium restoration such as MSP and ESRD.

Skills

Healthcare Experience

Administrative healthcare experience

Attention to detail

Solid work history

Customer service skills

Tools

MS Office Suite

Job description

Molina Healthcare is hiring for Coordination of Benefits Processor. This role is remote and can be worked from a variety of locations. PST Time Zone is preferred.

This role will provide support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Reponsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records. Highly Qualified Candidates Will Have the Following Experience-

• Healthcare Experience
• Administrative healthcare exprience
• Solid experience with the MS Office Suite
• High attention to detail
• Solid work history

Essential Job Duties

• Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
• Phones or utilizes other insurance company portals to validate state, vendor and internal COB leads.
• Updates the other insurance table on the claims transactional system and COB tracking database.
• Contacts Centers for Medicare and Medicaid Services (CMS) directly, or coordinates with the assigned company contact to log tickets for premium restoration such as Medicare Secondary Payer (MSP) and End-Stage Renal Disease (ESRD).

Job Requirements

• At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
• Customer service skills.
• Attention to detail, organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications Health care experience.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $12.19 - $26.42 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.