Payment Integrity Analyst - COB

Job Description

We are seeking a detail-oriented Payment Integrity Analyst (COB) to support Coordination of Benefits (COB) investigations and payment accuracy initiatives. This individual will review healthcare claims, verify member eligibility and coverage, determine payer responsibility, and identify opportunities to prevent or recover inaccurate claim payments.

Key Responsibilities

• Investigate and resolve Coordination of Benefits (COB) issues
• Review healthcare claims and member eligibility information
• Determine primary and secondary payer responsibility
• Research discrepancies and document findings
• Maintain accurate case records and audit documentation
• Collaborate with internal teams and external stakeholders
• Support payment accuracy and recovery initiatives

Skills and Requirements

• 1-3+ years of healthcare claims, benefits, COB, or payment integrity experience
• Understanding of payer operations and insurance coverage rules
• Experience analyzing healthcare claims data
• Strong attention to detail and problem-solving skills
• Proficiency in Microsoft Excel and Microsoft Office
• Strong written and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.