coordination of benefits specialist ( Taguig)Legato Health Technologies

Responsible for researching and investigating other coverage for all of the company's groups and members.
Performs multi complex functions and interprets complex rules, laws and contracts.
Accountable for end-to-end functionality on every Coordination of Benefits (COB) function including reconciliation of claim, membership and accounting.
Primary duties may include, but are not limited to:
Utilizes COB Smart data, internal resource tools;
Must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, and report to identify members who are enrolled in other coverage; and
Updates all of the company's membership system components with investigation results for claim coordination.
Qualifications:
High school diploma or any combination of education and experience, which would provide an equivalent background;
At least 1 year of claims processing, customer service skills and/or at least 1 year coordination of benefits experience in a similar BPO / Shared Service set up;
Requires knowledge of NAIC & CMS COB guidelines; and
Temporary Work from Home option available but candidates should be willing to work at BGC Taguig, and in shifting schedules once work on site resumes.
To expedite the process of your application, please have your government numbers / ID ready (SSS, Tin, Philhealth, Pagibig), and NBI Clearance. For candidates applying for Clinical Operations, please also have your PRC and/or USRN license numbers / IDs ready.
Questions? Chat with us via Facebook Messenger at m.me/LegatoHealthPH​ or send an SMS at 0917-6LEGATO
Legato Health Technologies

Taguig City, Metro Manila
Temporary
Full-time