Payment Integrity Lead

A company is looking for a Payment Integrity Lead - Coordination of Benefits (COB). Key Responsibilities Manage inventory and ensure financial accuracy of the Coordination of Benefits program Lead payer priority determination and complex claims resolution processes Train and develop staff while collaborating with vendors and internal teams Required Qualifications Bachelor's degree in Business Administration, Computer Science, or related field, or equivalent experience 5 years of experience with Coordination of Benefits (COB) and claims management Experience with health plan operations, claims payment, and vendor management Familiarity with document management software and claims adjudication systems Strong analytical skills for inventory management and process validation

Apr 4, 2025 - 19:19

A company is looking for a Payment Integrity Lead - Coordination of Benefits (COB). Key Responsibilities Manage inventory and ensure financial accuracy of the Coordination of Benefits program Lead payer priority determination and complex claims resolution processes Train and develop staff while collaborating with vendors and internal teams Required Qualifications Bachelor's degree in Business Administration, Computer Science, or related field, or equivalent experience 5 years of experience with Coordination of Benefits (COB) and claims management Experience with health plan operations, claims payment, and vendor management Familiarity with document management software and claims adjudication systems Strong analytical skills for inventory management and process validation