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COBCO Health Insurance Specialist (MAS3/AHSO)
6 days agoWhat's your preference?
Job Description
- Req#: 5150755
Employer Industry: Health Care Authority
Why consider this job opportunity:
- Salary up to $63,252.00 annually
- Opportunity for career advancement and growth within the organization
- Flexible work options, including the possibility of remote employment
- Meaningful work with a clear agency mission focused on high-quality health care
- Comprehensive benefits package, including medical, dental, and retirement options
- Supportive work environment with a commitment to diversity and inclusion
What to Expect (Job Responsibilities):
- Investigate and analyze Medicaid billing cases to determine third-party liability coverage
- Make payment determinations in accordance with state and federal laws and regulations
- Provide expert consultative services to clients and providers regarding health insurance benefits
- Recover funds from insurers when private health insurers are liable for Medicaid costs
- Review and respond to inquiries related to coordination of benefits and claims
What is Required (Qualifications):
- Bachelor's degree and one year of relevant experience, or an associate degree with three years of experience, or a certificate in Medical Billing and Coding with three years of experience, or five years of relevant experience
- Experience providing direct client services or counseling in health insurance or related benefits
- Ability to analyze complex rules, regulations, or policies
- Strong problem-solving skills and the ability to work independently
- Exceptional oral and written communication skills
How to Stand Out (Preferred Qualifications):
- Experience navigating complex problems with incomplete information
- Proficiency in Microsoft Office products (Outlook, Excel, Word, etc.)
- Ability to communicate complex topics clearly in writing
- Experience in resolving complex complaints with clients and insurance companies
- Knowledge of Medicaid programs and eligibility verification
#HealthCare #Medicaid #InsuranceClaims #RemoteWork #CareerGrowth #DiversityAndInclusion
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