drjobs Coordination of Benefits & Recovery Associate

Coordination of Benefits & Recovery Associate

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1 Vacancy
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Job Location drjobs

Schenectady, NY - USA

Hourly Salary drjobs

USD 20 - 27

Vacancy

1 Vacancy

Job Description

At MVP Health Care were on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this were looking for a Coordination of Benefits and Recovery Associate to join #TeamMVP. If you have a passion for claims investigation payment accuracy and collaborative problem solving this is the opportunity for you.

Whats in it for you:

  • Growth opportunities to uplevel your career
  • A peoplecentric culture embracing and celebrating diverse perspectives backgrounds and experiences within our team
  • Competitive compensation and comprehensive benefits focused on wellbeing
  • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications youll bring:

  • An AAS in Business or Finance or two years experience in insurance or related field preferred.
  • The availability to work fulltime virtual
  • Medical claims processing experience with CPT4 and ICD10 procedural and diagnosis coding and medical terminology.
  • Must be experienced or knowledgeable in one or more of the following areas: No Fault Workers Compensation Third Party Liability Medicare and/or other Insurance. Prior experience with Accounts Payable or Finance preferred. Prior COB experience including familiarity with reading various EOB forms is highly of Benefits experience/knowledge of NYS and Federal regulations pertaining to the order of benefits preferred.
  • Curiosity to foster innovation and pave the way for growth
  • Humility to play as a team
  • Commitment to being the difference for our customers in every interaction

Your key responsibilities:

  • Conduct thorough investigations into COB cases documenting insurance coverage details accidentrelated diagnoses and other essential information
  • Apply COB guidelines to determine benefit primacy and process secondary claims efficiently
  • Manage financial recovery efforts including outreach to providers and members for collections on outstanding balances.
  • Manage financial recovery efforts including outreach to providers and members for collections on outstanding balances.
  • Process returned MVP checks provider/member refund checks and accurately post recoveries in the claims accounting system.
  • Build professional relationships with providers and facilities to resolve refund balances and streamline account reconciliation.
  • Adjust reprocess and post refund and returned checks while maintaining proper documentation for accuracy.
  • Address incoming inquiries regarding COB and Recovery ensuring professional and knowledgeable support for internal and external stakeholders.
  • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where youll be:

Virtual Must reside within New York State

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors including but not limited to geographic location; relevant experience education and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.

MVPs Inclusion Statement
At MVP Health Care we believe creating healthier communities begins with nurturing a healthy workplace. As an organization we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits employs trains compensates and promotes without discrimination based on race color creed national origin citizenship ethnicity ancestry sex gender identity gender expression religion age marital status personal appearance sexual orientation family responsibilities familial status physical or mental disability handicapping condition medical condition pregnancy status predisposing genetic characteristics or information domestic violence victim status political affiliation military or veteran status Vietnamera or special disabled Veteran or other legally protected classifications.

To support a safe drugfree workplace preemployment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability please contact our Talent team atemailprotected.

Other details


Required Experience:

IC

Employment Type

Hourly

About Company

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