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Claims COB Analyst jobs in United States
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Driscoll Children's Hospital · 14 hours ago

Claims COB Analyst

positionCorpus Christi, TX
timeFull-time
remoteOnsite
seniorityMid Level
date3+ years exp
Driscoll Children's Hospital is dedicated to combining compassion with innovation and technology, and they are seeking a Claims COB Analyst. The role involves analyzing claims with other insurance coverage to ensure correct payment order, auditing claims, and supporting vendor oversight while maintaining compliance and quality standards.
Family & CareHealthcareChild CareChildrenHealth CareMedical
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Growth Opportunities

Responsibilities

Analyze members with other insurance coverage to determine the correct order of benefits
Audit claims to identify services paid as primary in error
Analyze COB claims to determine correct claim payment
Research and validate other insurance coverage with insurance carriers
Support vendor oversight of COB recovery-related activities
Coach/mentor team members regarding opportunities for identification of COB
Effectively prioritize and complete all assigned tasks within appropriate timeframes and with the required level of quality
Openly participate in team meetings, providing ideas and suggestions to ensure departmental efficiency and quality, and to promote teamwork
Maintain required compliance with privacy and confidentiality standards
Maintain or exceed all established standards for performance, quality, and timeliness
Support the Claims department in the review, investigation, and research of claims issues
Demonstrate business practices and personal actions that are ethical and adhere to all Health System and Health Plan policies and procedures
Assist with other related work responsibilities as requested

Qualification

Claims analysisCoordination of BenefitsMedical billingMedical codingResearch skillsCompliance knowledgeTeam mentoring

Required

Minimum three years professional experience in claims analysis, provider medical billing, or medical coding
Minimum two years professional experience with Coordination of Benefits, including order of benefit determination and payment calculation
Minimum High school graduate or GED required

Preferred

Experience with Texas Medicaid

Company

Driscoll Children's Hospital

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We provide the absolute best pediatric care in South Texas, where care and community come together. Together, we heal.
dateFounded in 1953
location
Corpus Christi, Texas, USA
people-size1001-5000 employees
web-link
https://www.driscollchildrens.org/

Funding

Current Stage
Late Stage
Total Funding
$0.53M
Key Investors
Toyota Motor
2024-09-26Grant· $0.53M

Leadership Team

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Mary Peterson
Executive Vice President and COO
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Recent News

GlobeNewswire News Room
National Awards Celebrate Driscoll Children’s Heartfelt Communication with Families
2025-07-10
Morningstar.com
Cook Children's Sounds Alarm on Threat to Health Care Access for Texas Children and Urges Texas Leaders to Save and Protect Children's Health Plans
2025-05-10
GlobeNewswire News Room
Driscoll Children’s Hospital Opens New State-of-the-Art NICU
2025-03-06
Company data provided by crunchbase