Coordination of Benefits Specialist I
Company: BlueCross and BlueShield of Massachusetts
Location: Quincy
Posted on: May 17, 2022
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Job Description:
Ready to help us transform healthcare? Bring your true colors to
blue.
This Coordination of Benefits position is responsible for
investigating and determining primacy according to Federal and
State regulations for members with more than one health coverage
(Medical and/or Dental). Respond to members, providers and customer
service inquiries pertaining to coordination of benefits by
researching and resolving all related inventory. Maintain the
internal Coordination of Benefits files up to date.
Key Responsibilities
* Learn and maintain a working knowledge of all Federal and State
regulations that govern the determination of primacy
* Investigate and coordinate benefits when more than one insurance
exists
* Establish, update and maintain the Coordination of Benefits files
by researching and investigating all sources for information
* Adjust claims according to the information on file
* Support internal areas with inquiries related to Coordination of
Benefits
* Support the Coordination of Benefits Call Center
* Work with Members, Providers, Other Payers, Medicare
Intermediaries and Accounts to gather the details surrounding each
case for resolution.
* Consistently achieve quality and productivity standards.
Qualifications
* Basic computer skills
* Ability to work independently, in addition to working in a team
environment
* Must be organized and have the ability to prioritize multiple
assignments
* Excellent communication skills
Education/Relevant Experience
* High School diploma or equivalent required
* Minimum of one year business experience
* Customer service experience prefer
* Coordination of Benefits experience a plus
* Claim processing experience a plus
This position is eligible for E-working, Resident & Mobile
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted
above
Location
Quincy
Time Type
Full time
At Blue Cross Blue Shield of Massachusetts, we believe in wellness
and that work/life balance is a key part of associate wellbeing. We
provide a flexible hybrid work model in which roles are designated
as resident (on site 4-5 days/week), mobile (on site 1-3
days/week), or eworker (on site 0-3 days/month).
Blue Cross Blue Shield of Massachusetts, has a COVID-19 vaccination
requirement for building entry. Your offer of employment is
dependent upon either being fully vaccinated for COVID-19 or an
accommodation based on a disability or sincerely held religious
belief, practice, or observance by submitting a request to Human
Resources.
Keywords: BlueCross and BlueShield of Massachusetts, Quincy , Coordination of Benefits Specialist I, Other , Quincy, Massachusetts
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