Remote Claims Recovery Specialist – COB & Reconciliation

HCSC Group; Oregon; Hybrid; USD 24,000 - 39,000; Full time

Job summary

Health Care Service Corporation is seeking a detail-oriented professional to research refund checks, out of balance entries, and non-negotiated checks, ensuring accurate application of complex pricing and contract terms. The role involves coordinating benefits and reimbursement methodologies and requires strong analytical and communication skills.

The ideal candidate will have at least 1 year COB experience, solid mathematical ability, and the capacity to handle changing priorities while

Qualifications

• High school diploma or GED.
• 1 year COB experience.
• Ability to determine health care reimbursement methodologies and coordinate benefits.
• Organizational and time management skills; flexibility with changing priorities.
• Teamwork and ability to work independently when needed.
• Strong mathematical skills.
• Strong problem solving and analytical skills.

Responsibilities

• Research refund checks, out of balance entries, and non-negotiated checks.
• Coordinate with benefits and payor contracts to determine reimbursement methods.
• Apportion work with attention to accuracy and timeliness.

Skills

COB coordination

Reimbursement methods

Verbal communication

Analytical skills

Job description

Health Care Service Corporation is seeking a detail-oriented professional to research refund checks, out of balance entries, and non-negotiated checks, ensuring accurate application of complex pricing and contract terms. The role involves coordinating benefits and reimbursement methodologies and requires strong analytical and communication skills.

The ideal candidate will have at least 1 year COB experience, solid mathematical ability, and the capacity to handle changing priorities while