Processor, COB Review (Remote)

JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible for payment. This requires the maintenance of other insurance records and has a direct impact on medical expenses and premium reimbursement.

KNOWLEDGE/SKILLS/ABILITIES

• Provides telephone, clerical, and data entry support for the COB team.
• Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
• Updates the other insurance table on the claims transactional system and COB tracking database.
• Contacts CMS directly or coordinates with the Company's assigned contact to log tickets for premium restoration such as Medicare Secondary Payer and ESRD.

JOB QUALIFICATIONS

Required Education

HS Diploma or GED

Required Experience

1-3 years’ experience in an administrative support.

Preferred Education

Associate degree

Preferred Experience

3+ years’ experience in an administrative support role.

 

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.