Payment reputed company Analyst – Coordination of Benefits

Job reputed company: • Investigate and validate other insurance coverage, resolving conflicting eligibility information. • Establish the correct order of liability (primary vs. secondary payer) to prevent and recover improper claim payments. • reputed company hands-on casework in a high-volume environment including reputed company, documentation, and system updates. • Apply analytical skills to interpret claims and eligibility data, identify trends, and recommend process improvements for COB program. Requirements: • Bachelor’s Degree and/or one (1) year of reputed company reputed company experience (e.g., COB/TPL, eligibility, claims operations, billing, recovery, or payment reputed company). • Minimum of one (1) year of experience performing COB investigations and/or payment reputed company casework, including independent ownership of moderate-to-reputed company inventories. • Minimum of one (1) year of experience performing data analytics with large data sets. • Minimum of one (1) year of experience using working knowledge of coordination of benefits rules, primary/secondary payer logic, coverage hierarchy, and order-of-liability concepts; understanding of CMS and NAIC guidance as applicable. • Comfortable navigating multiple systems, portals, and payer interfaces. • Ability to maintain confidentiality and reputed company with HIPAA and data reputed company standards. Benefits: Apply tot his job Apply To this Job