Processor, Coordination of Benefits

Molina Healthcare Inc; United States; On-site; USD 38,000 - 52,000; Full time

Job summary

Molina Healthcare is seeking an Administrative Support specialist to assist the coordination of benefits (COB) review activities and reimbursement processes. You will support the COB team via telephone, data entry, and updates to insurer records, helping ensure accurate payments.

You will communicate with CMS and internal contacts, maintain timely documentation, and help manage multiple tasks in a fast-paced healthcare environment.

Qualifications

• Minimum 1 year of administrative support experience or equivalent education/experience.
• Strong customer service skills and professional communication.
• Excellent attention to detail, organization, and time management.
• Ability to work across a matrixed organization and build relationships with stakeholders.
• Effective verbal and written communication skills.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Provide phone, administrative and data-entry support for the COB team.
• Validate COB leads using insurance portals and internal systems.
• Update COB/claims tables and tracking databases.
• Coordinate with CMS or logs tickets for premium restoration activities such as MSP/ESRD.

Skills

Administrative support

Customer service

Attention to detail

Time management

Cross-functional collaboration

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