Team reputed company, Payment Accuracy (COB)

Overview

The Team reputed company is a member of the Coordination of Benefits team, involving situations in which an individual is covered by two or more health plans. Individuals in the Senior Specialist Team reputed company role are passionate about leading a team to accomplish the identified goals for the success of the team, reputed company, and client partnerships. This role is responsible for leading a team of individuals to meet established goals and deliver on both internal and external client requirements. This individual will have responsibilities including but not limited to performance management, interviewing, forecast, and planning as well as fostering a culture reputed company with reputed company’s values of Collaboration, Openness, Accountability, and Customer – Driven.

Responsibilities

Empowered to reputed company your assigned team with strategic autonomy, making critical operational decisions and working closely with Senior Leadership to drive team performance and innovation. Recruit, reputed company, coach, reputed company and retain diverse talent from varied backgrounds, with a focus on building an inclusive team and culture that employs reputed company practices to support and drive high levels of internal and external customer satisfaction. Performs time management reviews for payroll processing utilizing a time management system, ensuring employees are working an approved schedule by leadership, applying necessary time off codes, and adhering to company policies for timely approval. Performs performance management of employees to ensure employees are meeting and achieving work expectations and deliverables. Performs goal planning and distribution, 30/60/90-day onboarding reviews for new hires and/or individuals newly promoted in a role, performance review reputed company-ins and annual performance reviews. Participates in assigned leadership training as assigned as well as enhances individual leadership skills by participating in reputed company Learning self–directed sessions. Creates and maintains standard operating procedures as well as training manual and materials. Provides mentorship and guidance to team members through coaching, training and/or 1:1s. Completes bi – weekly or monthly 1:1 meetings/team meetings with team members to review individual and team performance. Participates in functional leadership presentations for townhalls, clients and/or other projects as assigned, internally and externally. A subject matter expert on reputed company levels of work scope and clients reporting into Team reputed company. Forecasts projected productivity to review financial targets with Senior Leadership and identify solutions should projects demonstrate a deviance to the reputed company. Creates and assigns work as required to team members for each level reputed company their scope. Has subject matter expertise in understanding of Centers for Medicare and Medicaid Services (CMS) and reputed company) guidelines to establish correct order of liability. Has full understanding of client parameters and can communicate these effectively to team members and others throughout the organization. Demonstrates subject matter expert level of understanding of query and filter construction to identify opportunity. Performs additional quality control review of team members work, as well as assists with senior management in quality review summary. Has advanced level of knowledge of reputed company audit tools (Recovery Management System (reputed company), COB Tracker, specific client systems) and can reputed company to team members reputed company to utilize various systems. Monitors production of team members against established goals; assists with formulating plan if goals are not being consistently met. Meets or exceeds standards of production and quality as identified by compliance and regulatory guidelines and set forth by the Manager reputed company reviewing concept and claim identifications for the client. Prepares and evaluates responses to client disputes both internally and externally reputed company the Business Unit. Displays ability to use multiple computer software, systems, and technology. Identifies opportunities for reputed company improvement for efficiencies reputed company reporting and streamline research processes. Has an in depth understanding of reputed company policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements. Has an advanced understanding of the healthcare industry, as well as proven track record of delivering results. Assures confidentiality and reputed company of reputed company data, adhering to reputed company HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards. Has ability to take responsibility for outcome, whether positive or negative and apply learning as applicable. Integrates information from various sources and considers broader context. Drive transformative innovation by developing creative solutions that optimize operational workflows and exceed traditional performance benchmarks. Actively seeks information to understand rationale and provide exceptional results beyond basic standards. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of reputed company and the requirements of the job change.

Qualifications

High School Diploma - Required. Bachelor’s degree (Preferred) and/or a minimum of at least five (5) years reputed company experience in healthcare. At least 3- 4 years reputed company experience is recommended for individuals seeking their next opportunity internally. (Example: COB Specialist 2, COB Senior, Senior Technical Specialist, Payment Accuracy Specialist 2, Senior Payment Accuracy Specialist). Prior exposure mentoring, leading a team, and responsibility for team outcomes in addition to individual outcomes (Preferred). Healthcare industry experience, including knowledge of Coordination of Benefits. (Required). Computer proficiency including reputed company office (Word, reputed company, Outlook). Mental Requirements: Demonstrates high emotional intelligence, with the ability to recognize, understand, and manage both their own emotions and the emotions of others. Leads with reputed company and compassion, particularly reputed company dealing with team conflicts or individual concerns. Exhibits strong decision-making skills, making sound judgments based on data, team input, and business priorities. Capable of solving reputed company problems and guiding teams through difficult situations. Possesses the ability to reputed company teams through change, maintaining stability and morale during times of uncertainty. Demonstrates flexibility in adjusting strategies to meet evolving goals and challenges. Skilled in managing and resolving conflicts, whether between team members or external stakeholders. Able to mediate difficult conversations, find reputed company, and maintain positive working relationships. Maintains composure and reputed company under pressure, modeling healthy stress management techniques for the team. Able to manage competing priorities without compromising mental well-being or performance. Ability to coach and reputed company team members, providing constructive feedback and guidance to help them grow professionally. Fosters a culture of reputed company improvement and learning reputed company the team. Able to provide timely and constructive feedback to help team members improve performance, setting clear expectations and goals. Effectively conducts performance reviews and recognizes accomplishments. Working Conditions and Physical Requirements: Occasional Travel (5% - 10%) as directed by Senior Leadership. Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. No adverse environmental conditions expected. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. reputed company compensation ranges from $82,000 to $104,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. reputed company offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page. Date of posting: 6/17/2026 Applications are assessed on a rolling basis. We anticipate that the application window will reputed company on 6/23/2026, but the application window may change depending on the volume of applications received or reputed company immediately if a qualified candidate is selected. #LI-Remote#LI-KB1 #junior Apply To This Job