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Administration, Clerical & Support

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Patient Financial Services COB Coordinator - Rockville Regional Offices

Location: Rockville, MD Job Number: 713420 Date posted: 08/08/2018
Description: Acts as a team leader for COB specialists and assist the supervisor with unit production while upholding the work responsibilities of a specialist.

Essential Functions:
  • Acts as a primary contact for inter-departmental, intra-departmental and other internal KP questions and issues relative to Medicare and commercial primacy determination.
  • Coordinates Medicare and commercial member surveys, interpreting responses, TPL and COBHS primary determination, managing MACESS COB work queues.
  • Performs retroactive claims audit on Medicare and commercial primacy determination. Identifies Medicare and COB overpaid claims for recovery.
  • Serves as Medicare and Commercial COB liaison to PFS billing operation.
  • Generates reports and statistical records for management and customers.
  • Assist in developing work plans and allocating work.
  • Makes recommendations on hiring, terminating and disciplining employees.
  • Provides support, and input for performance evaluations of COB Specialists.
  • Reviews and responds to inquiries from Medicare/Medicaid (MSP), other commercial plans, providers, members, attorneys, CMS, GHI and other external insurance sources, and offer COB guidance to internal customers.
  • Stays abreast of and assist with interpreting and communicating new laws, regulations and changes in MSP and NAIC and COB regulations.
  • Assists in developing policies and procedures to ensure optimal department performance.
  • Performs other duties as directed.

  • Basic Qualifications:
    Experience
  • Minimum five (5) years of experience in patient accounting, coordinating commercial health plan claims benefit and developing reports for claims audit and recovery, surveying commercial members.
  • Must be experienced in Microsoft NT, Word, Excel, and Access.
    Education
  • Associate's degree required, OR two (2) years of experience in a directly related field.
  • High School Diploma or General Education Development (GED) required.
    License, Certification, Registration
  • N/A

    Additional Requirements:
  • N/A

    Preferred Qualifications:
  • Bachelor's degree preferred.
    Primary Location: Maryland,Rockville,Rockville Regional Offices 2101 E. Jefferson St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 4:30 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: Administration, Clerical and Support Services Specialty: Support Services Department: Patient Financial Services Travel: No
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
  • About Administration, Clerical & Support Services Careers

    Administration, Clerical & Support Services Careers

    From greeting callers and visitors and answering questions to coordinating schedules and arranging meetings, our administrative, clerical, and support teams consistently demonstrate extraordinary knowledge, skills, and abilities. They provide superior and culturally sensitive service to each other, our members, purchasers, contracted providers, and vendors.

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