Processor, Coordination of Benefits

Molina Healthcare; United States; On-site; USD 17,000 - 36,000; Full time

Job summary

Molina Healthcare is seeking a detail‑oriented COB coordination support specialist in the United States. The role focuses on administrative and data entry tasks to support benefits review and premium reimbursement processes.

The incumbent will communicate with CMS and internal teams, maintain COB records, and ensure accurate data entry and timely updates across systems. This position requires strong organizational skills and proficiency with Microsoft Office.

Qualifications

• At least 1 year of administrative support experience.
• Customer service skills.
• Attention to detail, organizational and time-management skills; ability to manage simultaneous projects and tasks to meet 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.

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 the assigned company contact to log tickets for premium restoration (MSP, ESRD).

Skills

Administrative support

Customer service

Attention to detail

Time management

Cross-functional collaboration

Verbal communication

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

Pay Range: $12.19 - $26.42 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.