Coordination of Benefits Specialist

1 month ago


Maryland Heights, Missouri, United States Magellan Health Full time

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).

Other Job Requirements

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.



  • Maryland Heights, Missouri, United States Banner Property Full time

    Job OverviewAt Banner Property Management, we value individuals who are passionate about customer engagement and possess a strong sales orientation. If you excel in establishing rapport with clients and colleagues alike, we want to hear from you.We are currently seeking a dedicated Property Leasing Specialist to join our dynamic team at a thriving...


  • Maryland Heights, Missouri, United States Nextgen information services Full time

    Job OverviewThe Change Management Specialist will be responsible for orchestrating the strategies related to change management and adoption for significant transformation projects and system integrations, steering new or modified operational processes.Key Responsibilities:Develop and oversee communication strategies for various change initiatives, as well as...


  • Maryland Heights, Missouri, United States Mr Handyman Full time

    Overview:Client Relations and Sales Specialists play a vital role in our organization, serving as the primary point of contact for customer inquiries and project requests. This position is essential for managing communication between clients and our skilled technicians, ensuring a seamless service experience for both residential and commercial customers.Key...


  • Maryland Heights, Missouri, United States Insight Global Full time

    Insight Global is seeking a dedicated Office Management Specialist to join our dynamic Sales and Marketing team. This role is essential in providing comprehensive administrative support to our sales and marketing professionals, ensuring smooth operations within the office.Key Responsibilities:Support executive-level management by managing their schedules and...


  • Maryland Heights, Missouri, United States Monument Real Estate Services, LLC Full time

    Become a Key Member of Our Team as a Property Leasing SpecialistWe are thrilled to present an exciting opportunity at Monument Real Estate Services, LLC for a Property Leasing Specialist to become an integral part of our organization. In this role, you will play a vital part in delivering outstanding service to potential residents and ensuring a seamless...


  • Maryland Heights, Missouri, United States BANNER PROPERTY MANAGEME LLC Full time

    Join Our Team as a Property Leasing Specialist!At Banner Property Management LLC, we are dedicated to creating a welcoming environment for our residents. We are currently seeking a passionate and driven individual to fill the role of Property Leasing Specialist in our vibrant community.Your Role:As a Property Leasing Specialist, you will be the friendly face...


  • Maryland Heights, Missouri, United States Monument Real Estate Services Full time

    Monument Real Estate Services is honored to be recognized among the top workplaces in the multifamily sector. We are looking for a dedicated and customer-focused individual to join our team as a Property Leasing Specialist. In this role, you will be instrumental in our residential community, guiding potential residents through their housing options and...


  • Maryland Heights, Missouri, United States Deutsche Precision Full time

    Position OverviewDeutsche Precision is currently in search of skilled CNC Machining Specialists to join our dynamic team across various shifts. We offer a comprehensive benefits package that includes:Company-Paid Family Medical InsuranceDental CoveragePaid HolidaysClimate-Controlled Work EnvironmentOpportunities for OvertimeKey ResponsibilitiesThe CNC...


  • Maryland Heights, Missouri, United States Montrose Environmental Group, Inc. Full time

    ABOUT YOUAre you dedicated to environmental stewardship and eager to be part of a collaborative workplace that fosters innovation and value delivery? If so, we have an intriguing opportunity for you as a Groundwater Treatment Specialist.We are seeking a part-time Groundwater Treatment Specialist to engage directly with facilities designed for the remediation...


  • Maryland Heights, Missouri, United States Schahet Hotels Full time

    Position: Sales Operations Specialist at Schahet HotelsOverview:Maintain a friendly, professional demeanor at all timesBe prepared for various scenariosExhibit care and consideration for guestsUphold integrity and respect in all interactionsProactively take ownership and exceed expectationsCelebrate achievements and express enthusiasm in your roleKey...


  • Maryland Heights, Missouri, United States Arizon Companies Full time

    Position OverviewThe Welding Specialist will play a crucial role in delivering high-quality welds within the Fabrication Department. Collaborating closely with the welding supervisor and team leads, this position focuses on achieving welding targets while addressing challenges efficiently and economically.Key Responsibilities:Collaborate with the welding...


  • Maryland Heights, Missouri, United States Schahet Hotels Full time

    Job Title: Sales Operations Specialist at Schahet HotelsOverview:Maintain a professional, approachable demeanor at all timesBe prepared for various scenarios and challengesExhibit care and consideration for all guestsUphold integrity and respect in all interactionsTake proactive measures, demonstrating ownership and commitmentCelebrate achievements and...


  • Maryland Heights, Missouri, United States Inotiv Full time

    Junior Histology SpecialistLocation OverviewPosition SummaryKey ResponsibilitiesAs a Junior Histology Specialist, your role will encompass a variety of essential tasks:Routine Staining: Manage the operation and upkeep of autostainers, prepare reagents, and utilize both automated and manual coverslipping techniques.Microtomy: Ensure the production of...


  • Maryland Heights, Missouri, United States Mercy Full time

    About Us At Mercy, we are dedicated to a mission that embodies a healing ministry through our empathetic care and outstanding service. We believe in fostering careers that align with the distinct talents of individuals, ensuring that your skills and compassion are utilized to their fullest potential. Join us and find out why we are recognized among the "Top...


  • Maryland Heights, Missouri, United States Great Strides Behavioral Consulting Inc Full time

    Job Opportunity: Child Behavior Support Specialist at Great Strides Behavioral Consulting IncIf you are passionate about working with young children and are dedicated to making a positive difference in their lives, we have an excellent opportunity for you at Great Strides Behavioral Consulting Inc. We are seeking Child Behavior Support Specialists to...


  • Maryland Heights, Missouri, United States Grainger Businesses Full time

    Work Location Type: Onsite As a leading industrial distributor with operations primarily in North America, Japan and the United Kingdom, We Keep The World Working by serving more than 4.5 million customers worldwide with products delivered through innovative technology and deep customer relationships. With 2023 sales of $16.5 billion, we're dedicated to...

  • Operations Specialist

    2 months ago


    Maryland Heights, Missouri, United States Professional Diversity Network Full time

    Apex Systems, Inc.Job#: Job Description: As an Operations Specialist, your role is to oversee and optimize day-to-day operational processes within an organization, ensuring efficiency, compliance, and smooth workflow across various departments.Responsibilities: * Manage and execute operational needs of the firm in a fast-paced environment * Demonstrate...


  • Maryland Heights, Missouri, United States Magellan Health Services Full time

    Workforce Planning AnalystMagellan Health Services is seeking a highly skilled Workforce Planning Analyst to join our team. In this critical role, you will play a key part in ensuring the success of our Call Center operations by optimizing resources, staffing, and scheduling to achieve exceptional service levels.Key Responsibilities:Monitor call center...


  • Maryland Heights, Missouri, United States GFI Digital Inc. Full time

    Job OverviewThe Technical Support Specialist is responsible for delivering exceptional customer service by implementing, maintaining, and resolving technical challenges related to customer workstation and server hardware, software, and network connectivity. This role requires a strong customer service orientation, effective communication skills, and a...

  • Registered Nurse

    1 day ago


    Maryland Heights, Missouri, United States Mercy Full time

    About Us At Mercy, we are dedicated to a mission that embodies a healing ministry through compassionate care and outstanding service. We believe in fostering careers that align with the distinct talents of individuals, allowing you to utilize not only your skills but also your passion. Join us and see why we have been recognized by Modern Healthcare Magazine...