Processor, Coordination of Benefits

Molina Healthcare; United States; On-site; USD 32,000 - 52,000; Full time

Job summary

Molina Healthcare in the United States is seeking an administrative support specialist to coordinate benefits review activities and assist with data entry related to COB and premium reimbursements for multiple lines of coverage.

You will interact with carriers, CMS portals, and internal stakeholders, maintain COB records, and support timely, accurate processing of incidents and inquiries with strong attention to detail and solid Microsoft Office skills.

Qualifications

• At least 1 year of administrative support experience or equivalent.
• Strong customer service, communication, and interpersonal skills.
• Excellent attention to detail and ability to manage multiple tasks.
• Ability to collaborate across a matrixed organization and with external stakeholders.
• Proficient in Microsoft Office and related software.

Responsibilities

• Provide telephone, administrative and data entry support for the COB team.
• Validate COB leads using state, vendor and internal portals.
• Update COB tables on the claims system and tracking database.
• Log MSP/ESRD premium restoration tickets with CMS or internal contacts.

Skills

Administrative support

Customer service

Attention to detail

Time management

Verbal and written communication

Tools

Microsoft Office

Job description

Job Summary

Provides 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.

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