close
  • Dashboard
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Customer Service
      • Education
      • Sales
      • Manager
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Microsoft Word
      • Professional
      • Modern
      • Traditional
      • Creative
      • View All
    • Resume Services
    • Resume Formats
      • Resume Formats
      • Chronological
      • Functional
      • Combination
    • Resume Review
    • How to Write a Resume
      • How to Write a Resume
      • Summary
      • Experience
      • Education
      • Skills
        • Skills
        • Hard Skills
        • Soft Skills
    • Resume Objectives
  • CV
    • CV
    • CV Examples
    • CV Formats
    • CV Templates
    • How to Write a CV
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Customer Service
      • Marketing
      • Sales
      • Education
      • Accounting
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Questions
  • Resources
  • About
    • About
    • Reviews
  • Contact
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • Coordination of Benefits (COB) Resolution and Recovery Coordinator
Please provide a type of job or location to search!
SEARCH

Coordination of Benefits (COB) Resolution and Recovery Coordinator Resume Example

Love this resume?Build Your Own Now
COORDINATION OF BENEFITS (COB) RESOLUTION AND RECOVERY COORDINATOR
Professional Profile
Business professional with twenty-five years experience seeking an opportunity to showcase skills.  Core competencies include exceptional organization and efficiency, the ability to facilitate multiple projects simultaneously with excellent problem solving skills as well as excellent communication and time management skills. Handles tasks with accuracy and efficiency.
Experience
Coordination of Benefits (COB) Resolution and Recovery Coordinator
August 2013 to Current
Gila River Health Care - Chandler , AZ

  • Developed and implemented a new automated process to streamline recoveries
  • Investigate and uncovered a software error that was creating lost revenue
  • Communicate with members and providers to resolve COB issues for facility, medical and pharmacy claims
  • Prepare, process and reconcile documentation and reports from various internal departments in order to ensure accurate and timely payment of claims
  • Investigate workers' compensation, automobile and accident claims
  • Maintain multiple spreadsheets and update information on all company software programs
  • Identify and recovering claims paid in error which provides an integral role in the revenue stream
  • Analize and interpret daily reports to maintain integrity of the software system
  • Continual review of Public Act 64, NAIC guidelines and other COB rule governing agencies in order to accurately determine primacy
  • Member of the HAP WEIC (Wellness and Employee Involvement Committee)

Claims Specialist
July 2007 to August 2013
Koch Industries, Inc. - Saint Paul , MN
  • Led monthly process improvement meetings
  • Scanned incoming paper claims and maintain logs
  • Reviewed and process primary and secondary claims for payment
  • Routed claims to proper departments for resolution
  • Member of the Employee Involvement Committee
Medial Office Manager
March 1994 to February 2007
Retina Vitreous Center - City , STATE
  • Planned, coordinated and controlled daily operations of the organization.
  • Human resources:  front office staff training, supervising front office, employee evaluations, employee interviews, hiring and discharges, conducting front office meetings, front office scheduling
  • Physician scheduling: coordinating physician meetings, vacations and travel, continuous creation and monitoring of schedules
  • Trained and supported users during new system implementations and upgrades.
  • Computer maintenance: create custom reports, maintaining physician and insurance company files, software updates, fee schedule updates
  • Physician credentialing: Ensuring physicians maintain staff privileges by keeping all paperwork current, verifying physicians maintain participation with numerous insurance companies, safeguarding confidential documents, maintaining online CAQH file
  • Low vision: oversight of Low Vision program, maintaining log of all services performed, review all charges, calculate fee splits between physicians
  • General business: create new business forms as needed,review daily edit report for discrepancies, review delinquent patient accounts, procuring of all office supplies, ensuring all medial equipment was properly maintained 
Accounting Supervisor
July 1991 to March 1994
Retina Vitreous Center - City , STATE
  • Insurance billing:  submitting claims, posting insurance payments, investigating insurance claim disputes
  • Payroll:  Calculating employee weekly hours, updating and maintaining payroll deductions, tracking employee PTO hours
  • General business:  Accounts payable/receivable, monthly reconciling of multiple bank accounts, preparing financial reports, accountant liaison, maintaining personnel files, resolving computer software problems, HIPAA compliance officer
Education
Bachelor of Arts : BusinessMichigan State University - City, StateEmphasis in Materials Management:  Purchasing and Transportation
Skills and Affiliations
Proficient in Word, Excel, Outlook, AMISYS, ECRS, CMS and Reveal Software
Proficient in ICD 10, CPT and medical terminology
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

66Fair
Resume Strength
  • Completeness
  • Word choice
  • Measurable results
  • Strong summary
  • Typos

Resume Overview

School Attended

  • Michigan State University

Job Titles Held:

  • Coordination of Benefits (COB) Resolution and Recovery Coordinator
  • Claims Specialist
  • Medial Office Manager
  • Accounting Supervisor

Degrees

  • Bachelor of Arts : Business

Create a job alert for [job role title] at [location].

×

Advertisement

Similar Resumes

View All
Medicare-Coordination-of-Benefits-Manager-resume-sample

Medicare Coordination of Benefits Manager

Foundation Capital

Golden , CO

Benefit-Engine-Architect/Epic-Coordinator-resume-sample

Benefit Engine Architect/Epic Coordinator

Exela Technologies Inc.

Irvine , CA

Senior-Recovery/Resolution-representative-resume-sample

Senior Recovery/Resolution representative

Leslie's Pool Supplies (Dba)

Midwest City , OK

  • About Us
  • Privacy Policy
  • Terms of Use
  • Sitemap
  • Work Here
  • Contact Us
  • FAQs
  • Accessibility
  • EN
  • UK
  • ES
  • FR
  • IT
  • DE
  • NL
  • PT
  • PL
customerservice@livecareer.com
800-652-8430 Mon- Fri 8am - 8pm CST
Sat 8am - 5pm CST, Sun 10am - 6pm CST
  • Stay in touch with us
Site jabber winner award

© 2022, Bold Limited. All rights reserved.