Note: The job is a remote job and is open to candidates in USA. Cobalt Benefits Group is a trusted third-party administrator specializing in self-funded benefit plans. As a Claims Refund Specialist, you will be responsible for managing various administrative tasks related to health plan services and claims, ensuring accurate processing of refunds and providing excellent communication to members and providers.
Responsibilities
- Audit, review, and adjust medical, dental, and flexible spending accounts and Health Reimbursement Account claims
- Review, apply and create refund letters for all lines of business to members and providers
- Reprocess payments when necessary
- Communicate with members, providers, employer group contacts, and other inquirers pertaining to specific refund questions
- Review plan documents for various groups to research and resolve claim processing questions and issues
- Act with urgency to respond to inquiries regarding refund request status-including research and resolution regarding outstanding request
- Perform other related duties, as assigned
Skills
- 6 months' experience in healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support
- Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency
- Strong interpersonal skills with excellent verbal and written communication skills
- Basic keyboard and Windows based computer skills required
- Familiarity with Microsoft Excel
- Comfort with being on camera for virtual meetings (e.g., Microsoft Teams)
- Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired
- Eager to learn the TPA industry and new concepts and processes
Benefits
- Fantastic medical, dental, and vision insurance*
- Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
- Company provided Basic Life and AD&D
- Company paid Short-Term and Long-Term Disability**
- Flexible Spending Accounts*
- 401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully vested after 3 years)
- 10+ paid holidays
- Generous paid vacation and sick time
- Annual Volunteer Paid Day
- Annual Tuition Reimbursement
- Annual Health and Wellness Reimbursement
- Lots of fun company events
- Benefit Waiting Period Notes: *60 day waiting period **90 day waiting period
Company Overview