Coordination of Benefits & Recovery Associate

MVP Health Care; New York, City of Schenectady (NY, NY); Remote; USD 45,000 - 70,000; Full time

Job summary

An innovative health care organization is seeking a Coordination of Benefits and Recovery Associate to enhance claims processing and ensure payment accuracy. You will play a crucial role in investigating claims, managing financial recoveries, and fostering professional relationships with providers. This position offers the chance to contribute to a healthier future while working in a supportive, people-centric environment. Join a recognized leader in health care that values diverse perspectives and offers growth opportunities to advance your career.

Benefits

Growth opportunities

Comprehensive benefits

People-centric culture

Work from home flexibility

Qualifications

• Experience in medical claims processing and familiarity with coding.
• Knowledge of No Fault and Workers’ Compensation regulations.

Responsibilities

• Conduct investigations into COB cases and document insurance details.
• Manage financial recovery efforts and process refunds accurately.
• Address inquiries regarding COB and Recovery professionally.

Skills

Medical claims processing

CPT-4 coding

ICD-10 coding

No Fault knowledge

Workers’ Compensation knowledge

Third Party Liability knowledge

Medicare knowledge

Accounts Payable experience

Curiosity for innovation

Team collaboration

Education

AAS in Business or Finance

Two years’ experience in insurance

Job description

Coordination of Benefits & Recovery Associate

Headquarters Office, 625 State Street, Schenectady, New York, United States of America ● Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America Req #2571

At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Coordination of Benefits and Recovery Associate to join #TeamMVP. If you have a passion for claims investigation, payment accuracy, and collaborative problem solving, this is the opportunity for you.

What’s in it for you:

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications you’ll bring:

• An AAS in Business or Finance or two years’ experience in insurance or related field preferred.
• The availability to work [full-time, virtual]
• Medical claims processing experience required. Familiarity with CPT-4 and ICD-10 procedural and diagnosis coding and medical terminology.
• Must be experienced or knowledgeable in one or more of the following areas: No Fault, Workers’ Compensation, Third Party Liability, Medicare and/or other Insurance. Prior experience with Accounts Payable or Finance preferred. Prior COB experience including familiarity with reading various EOB forms is highly desirable. Coordination of Benefits experience/knowledge of NYS and Federal regulations pertaining to the order of benefits preferred.
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• Conduct thorough investigations into COB cases, documenting insurance coverage details, accident-related diagnoses, and other essential information
• Apply COB guidelines to determine benefit primacy and process secondary claims efficiently
• Manage financial recovery efforts, including outreach to providers and members for collections on outstanding balances
• Process returned MVP checks, provider/member refund checks, and accurately post recoveries in the claims accounting system
• Build professional relationships with providers and facilities to resolve refund balances and streamline account reconciliation
• Adjust, reprocess, and post refund and returned checks while maintaining proper documentation for accuracy
• Address incoming inquiries regarding COB and Recovery, ensuring professional and knowledgeable support for internal and external stakeholders
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer

Where you’ll be:

Virtual- Must reside within New York State

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [e-mail] .

• Headquarters Office, 625 State Street, Schenectady, New York, United States of America
• Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America