Coordination Of Benefits Recovery Processor
Christus Health

Irving, Texas


Summary:

This position's primary responsibility revolves around correspondence and the resulting necessity for research and communication in order to ensure timely collection of recoveries due from other health insurance (OHI) carriers. The Senior Processor also maintains all member demographic information in the computer system relative to OHI. This position processes a heavy volume of paperwork.Open, read and process all incoming correspondence in a timely manner.

  • Open, read and process all incoming correspondence in a timely manner
  • Determine course of action to ensure recovery
  • Communicate effectively with other health insurance carriers
  • Re-bill, attaching explanation letter when appropriate, requesting status for claims over 60 days old with no recovery or claims pended for another carrier's EOB
  • Quality check and stamp recovery letters for mail-out
  • Close claims in the computer system that do not result in a recovery
  • Communicate effectively with members to resolve problem issues with OHI
  • Assist Supervisor with annual OHI member investigations
  • All other duties as assigned by management
  • Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals
  • Follow the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
Requirements:
  • High school diploma or equivalent
  • Excellent data entry speed and accuracy, working with large volume of paperwork
  • Knowledge of coordinating benefits or claims payment (basic knowledge of medical claims)
  • Integrity regarding working with very large recovered monetary amounts
  • Good communication skills a must
  • Three plus years experience in Managed Care claims
  • At least one year coordinating benefits preferred
Work Type:

Full Time


Senior Inclusion Jobs
Job Alerts

Provide an email, zip code for jobs, and/or job category to subscribe to job alerts on Senior Inclusion Jobs. Learn more now.


*By subscribing, you agree to our Terms and Privacy Policy.

More Medical and Nursing jobs


GWU Medical Faculty Associates
Washington, District of Columbia
Posted about 6 hours ago
Snapon
Elkmont, Alabama
Posted about 6 hours ago
Blanchard Valley Regional Health Center
Findlay, Ohio
Posted about 6 hours ago
View Medical and Nursing jobs »

New post from our employment blog

How to Prepare for a Job Interview: 7 Questions to Expect

Learning how to prepare for a job interview is essential to landing the job. Here are 7 common job interview questions to prepare for.

...

Read blog post
Share Inclusion Job

Coordination Of Benefits Recovery Processor is available on our inclusion job network.


Disability inclusion jobs logo
Asian inclusion jobs logo
Black inclusion jobs logo
Diversity inclusion jobs logo
LGBTQ inclusion jobs logo
Seniors inclusion jobs logo
Women inclusion jobs logo
Hispanic inclusion jobs logo