New

COB/TLP Coordinator

Mass General Brigham Health Plan
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Nov 04, 2025
Responsible for coordinating the Coordination of Benefits (COB) and Third-Party Liability (TLP) processes to ensure accurate claims processing and payment. Reviews and verifies insurance coverage, collaborates with payers, and maintains compliance with regulations to optimize reimbursement and minimize denials. Essential Functions -Responsible for printing and mailing all COB and TPL correspondence, including certified mail and certified cards. -Makes CMS query file, Medicare eligibility, and TPL updates. -Responsible for entering all COB and TPL-related refund checks into the refund database in a timely manner and assigning to appropriate staff. -Responsible for retrieving voice mail messages and following proper department procedures to assist with issues. -Assists with COB/TPL inquiries from internal departments, members, providers, and other health plans. -Manages the printing, mailing, and processing of any COB/TPL questionnaires, including entering returned questionnaire information, updated addresses, and processing call tracking related to questionnaires. -Maintains patient records related to insurance verification and claims processing. Education High School Diploma required or Associate's Degree preferred Experience At least 1-2 years of experience in medical billing, claims processing, or managed care preferred Knowledge, Skills, and Abilities Strong attention to detail and accuracy in claims review and processing. Knowledge of insurance and payer requirements, especially COB and TLP policies. Excellent communication skills for working with insurers and patients. Analytical skills to identify and resolve billing discrepancies and denials. Proficiency in medical billing software and Microsoft Office applications. Working Conditions This is a hybrid role with 4 days/week at the office in Assembly Row and 1 remote role The schedule for this role is Monday through Friday, 8:00 AM - 4:30 PM Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.