Processor, Coordination of Benefits (Remote)

Molina Healthcare; United States; Remote; USD 42,000 - 52,000; Full time

Job summary

Molina Healthcare is seeking an administrative professional to support COB coordination activities affecting medical expenses and premium reimbursement. You will handle phone support, data entry, and maintain insurance records while working across a highly matrixed organization.

Ideal candidates bring at least 1 year of administrative experience, strong customer service skills, and proficiency with Microsoft Office.

Qualifications

• At least 1 year of administrative support experience or equivalent education/experience.
• Strong customer service skills and attention to detail are required.
• Able to manage multiple tasks and deadlines in a matrixed organization.

Responsibilities

• Coordinate benefits review activities impacting medical expenses and premium reimbursement.
• Provide phone, administrative and data entry support for COB team.
• Validate leads via phone or insurance portals and update COB records.

Skills

Administrative support

Customer service

Attention to detail

Communication skills

Time management

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

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.

Benefits

• Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V