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COB Representative

Employer
Blue Cross Blue Shield of ND
Location
Fargo, North Dakota
Salary
Join our team!

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Industry
Office and Administration
Role
Other
Job Type
Long-Term
Hours
Full Time

Job Details

Job Summary

The Coordination of Benefits (COB) Representative reviews and determines the appropriate benefit coverage for insurance claims made at Blue Cross Blue Shield of North Dakota (BCBSND). This position collaborates with members and various insurance companies to gather information for the determinations process, researches member claims and provides support to resolve the correct source for member coverage.

 

Essential Functions
  • Reviews claims and correspondence to make an appropriate determination on the next course of action.
  • Identifies claims which can be fully processed or needs additional information.
  • Investigates alternative coverage information through collaboration with external parties.
  • Utilizes organizational guidelines and reference material to process claims accurately.
  • Processes claim adjustments and resolves forms of overpayment recovery.
  • Response to incoming reports, medical forms and other related documents to make additional claim determinations for additional processing efforts.
  • Maintains the department member and provider letters.

 

Knowledge, Skills and Abilities

Attention to Detail and Accuracy

Basic

Communication (Verbal/Written)

Basic

Time and Resource Management

Basic

Technical/Professional Knowledge and Skills

Basic

 

Education Requirements

Required: High School Diploma/GED

 

 

Experience Requirements

Required: Minimum of 1 Year

 

Experience Details: Minimum of 1 year related work experience is required; customer service or insurance industry experience is preferred.

 

Certification, Licensures & Registration Requirements

Title: N/A

State or Agency: N/A

 

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Other Information

Job Posting Policy 6.05

New employees with Blue Cross Blue Shield of North Dakota will be eligible to apply for positions within their assigned department after successfully completing a 90-day review. For positions outside your department, you must attain a minimum of six months of service before you can apply.

Equal Opportunity Employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email careers@bcbsnd.com

This job posting will be closed 8/30/2019 at 8:00AM CST. No further applications will be considered.

Company

TWO WORDS – MEMBERS FIRST.

That sums up why we’re here. And according to member satisfaction surveys, 95.6% say we’ve done a great job at maintaining that focus.

With that said, there are still mountains to move. America’s health care system needs an overhaul and Blue Cross Blue Shield of North Dakota is taking a lead role. To accomplish that, we need BOLD people who believe they can make an impact.

Are you ready to shake up an industry?

If you’re passionate about taking on our nation’s number one health care concern, there may be a place for you on one of our teams.

Company info
Website
Location
4510 13th Ave. S.
Fargo
ND
58103
United States

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