Refund & COB Research Specialist

hcsc; Albuquerque (NM); Hybrid; USD 24,000 - 39,000; Full time

Job summary

Health Care Service Corporation is seeking a detail-oriented specialist to research refund checks, out of balance entries, and non-negotiated provider checks under supervision.

The role may involve offsetting, voiding, or reissuing provider checks, requiring knowledge of complex pricing, contract pricing and coordination of benefits. A high school diploma or GED is required, with COB experience and strong math/analytical abilities.

Qualifications

• COB experience and understanding of health care reimbursement methods are required.
• Strong math and analytical problem-solving abilities are essential.
• Ability to adapt to changing priorities and manage time effectively.
• Team-based or independent work capability as tasks require.

Responsibilities

• Research refund checks, out of balance entries and non-negotiated provider checks.
• Perform actions such as offsetting, voiding or reissuing checks as needed.
• Apply knowledge of complex pricing, contract pricing and coordination of benefits.

Skills

COB coordination experience

Strong mathematical skills

Analytical skills

Organizational & time management

Teamwork / independent work

Education

High school diploma or GED

Job description

Health Care Service Corporation is seeking a detail-oriented specialist to research refund checks, out of balance entries, and non-negotiated provider checks under supervision.

The role may involve offsetting, voiding, or reissuing provider checks, requiring knowledge of complex pricing, contract pricing and coordination of benefits. A high school diploma or GED is required, with COB experience and strong math/analytical abilities.