Coordination of Benefits Specialist at Magellan Health Services inc in Maryland Heights, Missouri

Job Description:

Responsible for updating COB records in all claims systems as well as determining order of benefits.

Coordination of positive COB responses with the Cost Containment staff will be necessary for recovery purposes.

This position is responsible for updating Coordination of Benefits (COB) records in all claims systems as well as determining order of benefits. Coordination of positive COB responses with the Cost Containment staff will be necessary for recovery purposes.

• Researches and enters data of COB leads.


• Provides documentation of adjudication errors for management and examiners.


• Designates workflow of positive entries and coordinate efforts with Recovery Auditors.


• Prepares weekly reports for inventory control purposes.


• Opens and sorts mail, distribute to various departments (COB reprocess requests).

Responsibilities
Knowledge of standard coordination of benefits policies, as well as policies for coordination with Medicare and Medicaid.
Working knowledge MS Office Suite.
Knowledge of standard industry Coordination of Benefits (COB) policies.

General Job Information

Title
Coordination of Benefits Specialist

Grade
17

Work Experience - Required
Claims

Work Experience - Preferred

Education - Required
GED, High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:
$31,175
Salary Maximum:
$46,765

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.