UPMC · 3 hours ago
COB Specialist
Pittsburgh, PA
Full-time
Onsite
Entry Level
1+ years expUPMC is seeking a COB Specialist to ensure accurate member coverage and proper claims processing. The role involves investigating insurance coverage, updating member records, and applying regulations for coordination of benefits while collaborating with internal teams and external agencies.
BiotechnologyHealth CareHospitalMedical
Responsibilities
Research and verify other insurance coverage across all lines of business
Apply CMS, DPW, PID, and Medicare regulations to determine order of benefits
Update and maintain accurate COB data in internal and external systems
Resolve claims impacted by other insurance quickly and accurately
Communicate with members, other insurance carriers, and internal teams to resolve inquiries
Meet established quality, accuracy, and productivity standards
Identify trends, issues, and improvement opportunities
Qualification
Required
High school diploma or equivalent required; college degree preferred
1 year of customer service experience and or other business environment
Ability to interpret and apply complex regulations as mandated by CMS, DPW, and PID as related to coordination of benefits, subrogation, and Medicare
Strong organizational, interpersonal, leadership and communication skills
Attention to detail is critical to the success of this position, with skills in customer orientation
Will need to manage multiple tasks and projects
Strong analytical skills required
MS Office/PC skills required
Preferred
Experience in claims processing, COB, or insurance
Company
UPMC
UPMC is one of the leading nonprofit health systems in the United States. A $10 billion integrated global health enterprise headquartered
10001+ employees
H1B Sponsorship
UPMC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (7)
2023 (4)
2022 (7)
2021 (7)
2020 (13)
Funding
Current Stage
Late StageTotal Funding
$0.46MKey Investors
Appalachian Regional Commission
2024-09-18Grant· $0.46M
Leadership Team
Leslie Davis
President and CEO
Frederick M. Hargett
Chief Financial Officer
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