- Medical Mutual of Ohio (OH)
- **Responsibilities** ** COB Specialist I** Researches and responds to inquiries/issues to ascertain specifics of multiple health insurance coverages for members ... operations, and other insurance companies. . Performs other duties as assigned. **Sr. COB Specialist ** Performs research to ascertain specifics of other coverage… more
- Citigroup (San Antonio, TX)
- The Ops Support Specialist 5 is an entry-level position responsible for providing operations support services, including but not limited to; record/documentation ... coordination with the operations - Core Team. Additionally, the Ops Support Specialist 5 serves as the liaison between operations staff, relationship managers,… more
- Henry Ford Health System (Troy, MI)
- …and authorizations. Resolves problem accounts to determine primary insurance and/or COB information. EDUCATION/EXPERIENCE REQUIRED: + High school diploma or GED ... in a hospital/medical office setting. + Knowledge of various insurance coverage, COB rules of priority and processing procedures. + Insurance payor systems… more
- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of ... is complete and current with each patient visit. The Admissions Registration Specialist I will assist patients with understanding their insurance options and… more
- Avera (Sioux Falls, SD)
- …details to optimize reimbursement from both the payer and patient. The Specialist must maintain strong working knowledge of insurance plans, contract requirements, ... patients and families with information on their financial responsibility. The Specialist will calculate and communicate to the patient a financial responsibility… more
- UNC Health Care (Goldsboro, NC)
- …and well-being of the unique communities we serve. Summary: The Payment Posting Specialist provides assistance to teammates to resolve accounts at Wayne UNC Health ... according to Hospital policy and regulatory, legal, and compliance guidelines. The Specialist is responsible for knowing and remaining up-to-date with legal and… more
- Omaha Children's Hospital (Omaha, NE)
- …all secondary claims prior to submission to ensure accuracy of claim and COB registration information. If prior insurance pays more than Medicaid allowable when ... Medicaid is secondary, handles adjustments according to department procedures. + Complies with Federal and State billing requirements. Also complies with Health Information Portability and Accountability Act (HIPAA) and Electronic Data Interface (EDI)… more
- Pacific Medical Centers (Seattle, WA)
- …and/or Medicaid benefits/programs. + All areas of specialty claim processing ( COB , Adjustments, Point of Service, Home Health, Home Infusion, Kidney Dialysis ... Centers, Encounters). + CRT. **Preferred qualifications:** + Microsoft Windows, Word, Excel, and Mail. **Why Join Providence?** Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and… more
- Molina Healthcare (Nampa, ID)
- …all of the following PI areas: Overpayment Recovery, Pre- and Post-pay COB , Subrogation, Premium Enhancement (MSP), Datamining, Pre-pay Editing for correct coding ... issue resolution, troubleshooting payment/adjustment errors, and quality controls recovery specialist adjustment work. * Great communication skills to respond to… more
- General Dynamics Information Technology (Las Cruces, NM)
- …all department work and recommend actions for improvement. + Maintain up-to-date knowledge of COB , COB -R, and MSP regulations and policies as they apply to ... with Customer Service Managers, Call Center Supervisors, Lead Training Specialist , Operations Representative, other Customer Service Reps, and other contractors… more