Coordination of Benefits (COB) Analyst

Equian LLC – Naperville, IL

Equian has grown to become one of the nations leading companies for healthcare reimbursement analysis and payment integrity. We have been voted one of 40 Healthcares Hottest by Modern Healthcare and have been recognized by Inc. 5000 as one of the fastest growing companies in the United States. We are an employee-centric company and offer the most competitive salaries in the industry, exceptional benefits, wellness programs, and many other perks you find at many other companies. Come join one of the finest and most recognized organizations in the industry!

Why choose Equian?

  • Flexible schedules following our hands on, comprehensive paid training program
  • Gym/Workout Facility located on site at no additional cost
  • Fresh Fruit provided every Monday at no additional cost
  • Excellent benefits and competitive wages
  • Equian is a company that gives back to its communities through volunteer work and charity fundraisers
  • What is COB:

    Coordination of Benefits (COB) is the process of determining which of two or more insurance companies will have the primary responsibility of payment and the extent to which the other policies will contribute to the overall payment. Equian s coordination of benefits product entails the speculative review of members with potential other coverage and to investigate all possible payers. Basically, the COB Analyst investigates insurance claims where there are two or more payers to determine which is insurance company is responsible for the claim.

    Salary Rage:

    If you re looking for a position to catapult your career and you like solving puzzles, this is an excellent opportunity to consider. The salary range starts near $40,000 per year and the position is bonus eligible!

    Job Summary:

    The COB Analyst will be charged with validation of members other coverage and analyze claim activity related to high complexity query validation using Medicare and NAIC coordination rules, coding guidelines, client specific policies, procedures and payment practices and other related materials before sending the notification of any over-payments. A key metric for measurement is the identification of new solutions within COB Product and creation of new investigative workflow. Utilize knowledge of medical terminology, ICD-9-CM, HCPCS Level II and CPT coding to analyze claims for Medicare payment. This is an investigative role in nature.

    Key Responsibilities and Duties:

  • Analyze members positive for Medicare to determine order of benefits
  • Audit claims to identify services our client paid primary in error
  • Identify new trending within COB Product
  • Become SME for assigned clients
  • Experience coordinating with other commercial payers
  • Employer and occasional provider or member outreach
  • Ability to take high level direction
  • Ability to prioritize multiple projects simultaneously and meet deadlines
  • Self-starter, self-directed, ability to work independently with minimal oversight
  • Ability to work in a matrixed environment
  • Ability to deal with ambiguity
  • Desire to make an impact, manage multiple tasks and shift priorities quickly
  • Qualifications:
  • Communications skills to include: Competency in nonverbal, oral and written communication; ability to identify, define and explain day-to-day problems and solutions.
  • Ability to organize moderately complex tasks and analyze moderately complex issues.
  • Adapt or enhance quality in existing methods to reach same results. Problems and issues may be only vaguely defined and require consideration of other job areas.
  • Education and Experience:

  • Bachelor s degree is preferred but not required
  • Two years related coordination of benefits experience as being responsible for determining order of benefits, nice to have
  • Proficiency in MS Office products such as Excel and Word
  • Excellent verbal and written communication skills
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