Senior Healthcare Coordination of Benefits, COB Analyst

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3 days ago

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BASF

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Chemicals • Agriculture • Healthcare

BASF is a global chemical company that operates across multiple sectors, providing a wide range of products and solutions. The company is focused on innovation and sustainability, serving industries such as agriculture, automotive, construction, electronics, energy, and healthcare. With a commitment to research and development, BASF aims to create chemicals that enhance the quality of life and support sustainable practices worldwide.

10,000+ employees

Founded 1865

🌾 Agriculture

📋 Description

• Review and analyze large volumes of client pre-pay and/or post-pay records • Investigate coverages for eligibility and determine primacy • Educate and resolve discrepancies with insurance carriers, employers, and/or providers • Maximize revenue for client recovery programs • Leverage strong knowledge and expertise in COB/TPL/EOB to gather and review eligibility • Analyze and understand written communication from insurance companies • Provide ongoing feedback to Management and Analytics Teams • Assist Management on assigned projects (including ramping up new client programs), client requests, regular reporting, data analysis and reconciliations, testing, and analytics reviews

🎯 Requirements

• High School diploma or GED; college and/or relevant certification preferred • Minimum 4 years of directly related progressive experience (claims, billing, eligibility, Medicaid, EOB, etc.) • Minimum 1 year of experience in a function demonstrating the ability to lead or make strong contributions to initiatives involving operations workflow, data reporting and analysis, contributing to the set-up of new clients or programs, or subject matter expertise applied to department workflows or projects, direct or indirect staff oversight or training, etc. • Strong knowledge and substantial experience with Healthcare billing, medical terminology, and high-level medical coding • Proven strength gathering and interpreting Explanation of Benefits (EOB) to answer questions and resolve complex primacy issues. • Strong skills using standard office technology; computer, various applications and navigation of on-line tools and resources, keyboard, mouse, phone, headset. • Intermediate to advanced Microsoft Excel skills with demonstrated skills analyzing large data sets relevant to the position.

🏖️ Benefits

• medical • dental • vision • HSA/FSA options • life insurance coverage • 401(k) savings plans • family/parental leave • paid holidays • paid time off annually