What are the responsibilities and job description for the Claims Refund and Coordination of Benefits (COB) Coordinator position at Express Employment?
Located in Grants Pass, OR
Salary : $18.50-22.00
The Claims Refund and Coordination of Benefits (COB) Coordinator is responsible for managing the processing and tracking of overpayments, refund requests, and updating member records to ensure accurate Coordination of Benefits (COB). This role involves detailed tracking of refunds, communication with providers, and updating insurance information to ensure claims are paid correctly and in compliance with the refund policy.
Essential Duties :
- Maintain logs and reports that track refunded amounts by line of business.
- Log inbound refunds accurately and promptly.
- Send refund requests identified through staff, reports, and providers.
- Follow up with providers who have not responded to refund requests within the designated timeframe.
Key Responsibilities :
Identify the claim(s) associated with a refund and ensure the refund is applied correctly by logging check details (number, amount, and date received).
Verify and update member records for Coordination of Benefits, including checking the COB box when new insurance information is added.
Ensure adherence to desk procedures and HIPAA / PHI compliance guidelines.
Effectively communicate system changes, improvement ideas, and concerns to direct supervisors.
Respectfully take direction from the Encounter Data Supervisor, VP of Claims Administration, and Claims Processing Manager, and collaborate with team members to foster a provider service-oriented culture.
Maintain regular and predictable attendance, with the ability to work onsite and remotely as needed.
Education & Experience :
Skills & Competencies :
Ability to read, write, and communicate effectively in one-on-one or small group settings.
Proficiency in basic math, including computing rates, ratios, and percentages.
Competency in using basic office software, databases, and communication tools.
Ability to solve practical problems with limited standardization, interpreting various forms of instructions.
Interpersonal Skills :
A proactive attitude in resolving issues with minimal supervision.
Demonstrates discretion, tact, and good judgment in stressful situations, interacting positively with upset customers.
Physical & Work Environment Demands :
1951GP
Express Office : Medford
3523 Arrowhead Drive
Suite 100
Medford, OR 97504
Salary : $19 - $22
