Remote eCOB Specialist II: Newborn Benefits

Elevance Health; United States; Hybrid; USD 60.000 - 90.000; Vollzeit

Zusammenfassung

Elevance Health is seeking an eCOB Specialist II focused on newborn benefits to research and coordinate coverage across multiple platforms. The role supports a flexible hybrid work setup with required in-person trainings and occasional office presence as needed.

Responsibilities include determining coverage primacy, assisting Medicare enrollment when entitled, and updating systems with investigation results for claims coordination.

Qualifikationen

• HS diploma or equivalent with 2+ years of claims processing and COB experience.
• Experience with NAIC & CMS COB guidelines.
• 2 years COB experience required; knowledge of complex rules and contracts preferred.

Aufgaben

• Research and investigate other coverage for company groups and members across multiple platforms.
• Assist members in enrolling in Medicare when entitled.
• Determine primacy for cases using Primacy Rules per state and federal laws.
• Update membership system components with investigation results for claim coordination.
• Ensure correct forms are provided to assist members enrolling in Medicare.
• Identify and reconcile claims using COB formulas across product types.

Kenntnisse

COB experience

Claims processing

Customer service

Newborn benefits

Ausbildung

HS diploma

Jobbeschreibung

Elevance Health is seeking an eCOB Specialist II focused on newborn benefits to research and coordinate coverage across multiple platforms. The role supports a flexible hybrid work setup with required in-person trainings and occasional office presence as needed.

Responsibilities include determining coverage primacy, assisting Medicare enrollment when entitled, and updating systems with investigation results for claims coordination.