COBTLP Coordinator
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Job Location:
Somerville, NJ - USA
Hourly Salary:
$ 17 - 24
Posted on:
06-11-2025
Vacancies:
1 Vacancy
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Responsible for coordinating the Coordination of Benefits (COB) and Third-Party Liability (TLP) processes to ensure accurate claims processing and payment. Reviews and verifies insurance coverage collaborates with payers and maintains compliance with regulations to optimize reimbursement and minimize denials.Essential Functions
-Responsible for printing and mailing all COB and TPL correspondence including certified mail and certified cards.
-Makes CMS query file Medicare eligibility and TPL updates.
-Responsible for entering all COB and TPL-related refund checks into the refund database in a timely manner and assigning to appropriate staff.
-Responsible for retrieving voice mail messages and following proper department procedures to assist with issues.
-Assists with COB/TPL inquiries from internal departments members providers and other health plans.
-Manages the printing mailing and processing of any COB/TPL questionnaires including entering returned questionnaire information updated addresses and processing call tracking related to questionnaires.
-Maintains patient records related to insurance verification and claims processing.
Qualifications
Education
- High School Diploma required or Associates Degree preferred
Experience
- At least 1-2 years of experience in medical billing claims processing or managed care preferred
Knowledge Skills and Abilities
- Strong attention to detail and accuracy in claims review and processing.
- Knowledge of insurance and payer requirements especially COB and TLP policies.
- Excellent communication skills for working with insurers and patients.
- Analytical skills to identify and resolve billing discrepancies and denials.
- Proficiency in medical billing software and Microsoft Office applications.
Additional Job Details (if applicable)
Working Conditions
- This is a hybrid role with 4 days/week at the office in Assembly Row and 1 remote role
- The schedule for this role is Monday through Friday 8:00 AM - 4:30 PM
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$17.36 - $24.79/HourlyGrade
2EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
Key Skills
- Corporate Risk Management
- Electronics
- Infection Control
- Bakery
- ELV
- Accident Investigation
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
