About the Company: Well known speciality healthcare pharmacy in East Orlando has a need for multiple Benefits Coordinators.

Pay: $15.50 an hour

Type: contract-to-hire 

Job Duties:

  • Calls hospitals, insurance companies, medical groups and/or members requesting other insurance information as it pertains to dual coverage, eligibility and termination dates of coverage.

  • Researches various COB information from lead sources including but not limited to Member Enrollment Forms, returned member request letters, prior claims, authorizations and Call Center Contacts.

  • Makes COB determinations in accordance to COB guidelines (NAIC, CMS, DMHC, DOI or other resources).

  • Updates the COB master file with other insurance information.

  • Sends correspondence to members requesting COB information.

  • Identifies need to re-adjudicate claims for members when Health Net (HN) is secondary.

  • Performs other duties as assigned..

Requirements:

  • Verbal and written communication skills, attention to detail, customer service skills and interpersonal skills.

  • High school diploma or equivalent required; college degree preferred.

  • 0-2 years experience in health insurance industry; prior experience in claims working with coordination of benefits processes preferred and or one year experience in a customer service environment.

 

Rec123

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