Coordination of Benefits Specialist Pay: Starting at $20.00/hour (based on experience), which may be below your state's minimum wage. Please take this into consideration when applying. Schedule: Monday-Friday | 9:00 AM -…
Skills: Coordination of benefits, Medicare, Insurance verification, Medical billing, Healthcare claims processing
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$40k–$46k/yr
Full-time
Health insurance, Dental program, Vision program, Life insurance, Disability insurance, Retirement savings plan
Posted 8h ago
~40 hrs/week
Remote in United States
Responsibilities
The specialist will investigate and determine the correct order of benefits for members with multiple health insurance plans while ensuring compliance with Medicare and federal regulations. They will also communicate with insurance carriers, providers, and members to validate coverage and document findings accurately in company systems.
Requirements
Candidates must have at least 2 years of healthcare experience in Coordination of Benefits or 4+ years in related fields like medical billing or insurance verification. Proficiency in Microsoft Office and a strong understanding of Medicare regulations and medical terminology are required.
Full job description
Coordination of Benefits Specialist
Pay: Starting at $20.00/hour (based on experience), which may be below your state's minimum wage. Please take this into consideration when applying.
Schedule: Monday-Friday | 9:00 AM - 5:30 PM EST
Location: Fully Remote
About this role:
Are you experienced in Coordination of Benefits (COB), Medicare, insurance verification, healthcare claims, or medical billing? We're looking for a detail-oriented healthcare professional who enjoys solving complex insurance coverage issues and working in a fast-paced remote environment.
As a Coordination of Benefits (COB) Specialist, you'll investigate insurance coverage, determine the correct order of benefits, communicate with insurance carriers and healthcare providers, and ensure claims are processed accurately while remaining compliant with Medicare and federal regulations.
If you have strong analytical skills, enjoy researching insurance eligibility, and take pride in delivering accurate, high-quality work, we'd love to hear from you.
Key Responsibilities:
Investigate and determine the correct Coordination of Benefits (COB) for members with multiple health insurance plans.
Review insurance eligibility, policy coverage, and documentation to verify the proper payer order.
Contact insurance carriers, Medicare (CMS), employer groups, healthcare providers, and members by phone, email, fax, and mail to validate coverage information.
Research complex healthcare eligibility issues and apply Medicare CMS and NAIC guidelines to determine primary and secondary coverage.
Document findings accurately in company systems while maintaining complete and detailed records.
Review Explanation of Benefits (EOBs) and other insurance documentation to support payment determinations.
Process incoming COB correspondence and updating eligibility records as needed.
Handle inbound and outbound calls related to Coordination of Benefits inquiries.
Meet established productivity, quality, and turnaround time goals.
Maintain HIPAA compliance and adhere to all federal, state, and client requirements.
Collaborate with teammates while working independently in a remote environment.
Identify opportunities to improve processes, documentation, and communication.
Required Qualifications:
Minimum of 2 years of healthcare experience involving Coordination of Benefits (COB) in a provider, payer, or healthcare vendor environment
OR
4+ years of experience in one or more of the following:
Insurance Verification
Medical Billing
Healthcare Claims Processing
Claims Auditing
Medical Reimbursement
Healthcare Data Analysis
Working knowledge of Coordination of Benefits (COB) guidelines.
Knowledge of Medicare (CMS) regulations and NAIC Coordination of Benefits guidelines.
Understanding of medical terminology and healthcare eligibility processes.
Strong investigative, research, and critical thinking skills.
Excellent verbal and written communication skills.
Ability to explain complex insurance information clearly and professionally.
Strong customer service skills with the ability to communicate confidently with insurance carriers, providers, employer groups, and members.
Experience working in a production-driven environment while maintaining high-quality standards.
Strong organizational and multitasking abilities.
Proficiency with Microsoft Office (Word, Excel, and Outlook).
Ability to work independently while collaborating effectively with a remote team.
Why You'll Love This Opportunity
Fully remote position
Flexible Monday-Friday schedule
No weekends required
Competitive starting pay
Collaborative team environment
Eligible for benefits day 1
If you're an experienced healthcare professional with a background in Coordination of Benefits, insurance verification, medical billing, or healthcare claims, we'd love to hear from you. Apply today!
Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.
We are currently NOT hiring in the following geographies, included but not limited to: States: AK, CA, CT, HI, MA, IL, MT & NY Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $39,960-$46,200.
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
Conduent delivers digital business solutions and services spanning the commercial, government and transportation spectrum – creating valuable outcomes for its clients and the millions of people who count on them. We leverage cloud computing, artificial intelligence, machine learning, automation and advanced analytics to deliver mission-critical solutions. Through a dedicated global team of approximately 55,000 associates, process expertise and advanced technologies, our solutions and services digitally transform our clients’ operations to enhance customer experiences, improve performance, increase efficiencies and reduce costs. We drive progress in every process for our client including disbursing approximately $100 billion in government payments annually, enabling 2.3 billion customer service interactions annually, empowering millions of employees through HR services every year and processing nearly 13 million tolling transactions every day.
Learn more at www.conduent.com
Offices: 100 Campus Dr, Florham Park, New Jersey 07932, US · Avenida Maria Coelho Aguiar, 215, Sao Paulo, SP 05805-000, BR · 101 Yorkshire Blvd, Lexington, KY 40509, US · 40, Bengaluru, Karnataka 560066, IN · ulica Gdanska 47/49, Lodz, LD 90-729, PL
Business Process SolutionsHealthcarePayments and EligibilityTransportationCustomer Experience Managementand Human Capital SolutionsInformation TechnologyService IndustryHealth CareBusiness Development
Conduent delivers digital business solutions and services spanning the commercial, government and transportation spectrum – creating valuable outcomes for its clients and the millions of people who count on them. We leverage cloud computing, artificial intelligence, machine learning, automation and advanced analytics to deliver mission-critical solutions. Through a dedicated global team of approximately 55,000 associates, process expertise and advanced technologies, our solutions and services digitally transform our clients’ operations to enhance customer experiences, improve performance, increase efficiencies and reduce costs. We drive progress in every process for our client including disbursing approximately $100 billion in government payments annually, enabling 2.3 billion customer service interactions annually, empowering millions of employees through HR services every year and processing nearly 13 million tolling transactions every day.
Learn more at www.conduent.com
Offices: 100 Campus Dr, Florham Park, New Jersey 07932, US · Avenida Maria Coelho Aguiar, 215, Sao Paulo, SP 05805-000, BR · 101 Yorkshire Blvd, Lexington, KY 40509, US · 40, Bengaluru, Karnataka 560066, IN · ulica Gdanska 47/49, Lodz, LD 90-729, PL
Business Process SolutionsHealthcarePayments and EligibilityTransportationCustomer Experience Managementand Human Capital SolutionsInformation TechnologyService IndustryHealth CareBusiness Development