Monitor and analyze COB metrics, denial trends, and recovery outcomes; implement process ... reviews. * Support internal and external audits by maintaining accurate documentation, policies ...
Monitor and analyze COB metrics, denial trends, and recovery outcomes; implement process ... reviews. * Support internal and external audits by maintaining accurate documentation, policies ...
COB & CM Senior Analyst
Tampa, FL · On-site
$79K - $118K/yr
The COB & CM Senior Analyst is a seasoned professional role. Applies in-depth disciplinary ... This provides a high-level review of the types of work performed. Other job-related duties may be ...
COB & CM Senior Analyst
Tampa, FL · On-site
$79K - $118K/yr
The COB & CM Senior Analyst is a seasoned professional role. Applies in-depth disciplinary ... This provides a high-level review of the types of work performed. Other job-related duties may be ...
Manager, Benefits Coordination and Claims
New York, NY · On-site
$77K - $149K/yr
Monitor and analyze COB metrics, denial trends, and recovery outcomes; implement process ... reviews. * Support internal and external audits by maintaining accurate documentation, policies ...
Manager, Benefits Coordination and Claims
New York, NY · On-site
$77K - $149K/yr
Monitor and analyze COB metrics, denial trends, and recovery outcomes; implement process ... reviews. * Support internal and external audits by maintaining accurate documentation, policies ...
Preconstruction Engineer
Tampa, FL · On-site
Review design documents and identity scope items with cost implications * Combine quantity take-off information and scope information into a completed Comparison of Bid (COB) sheet and use the ...
Preconstruction Engineer
Tampa, FL · On-site
Review design documents and identity scope items with cost implications * Combine quantity take-off information and scope information into a completed Comparison of Bid (COB) sheet and use the ...
Preconstruction Engineer
Coral Gables, FL · On-site
Review design documents and identity scope items with cost implications * Combine quantity take-off information and scope information into a completed Comparison of Bid (COB) sheet and use the ...
Preconstruction Engineer
Coral Gables, FL · On-site
Review design documents and identity scope items with cost implications * Combine quantity take-off information and scope information into a completed Comparison of Bid (COB) sheet and use the ...
Preconstruction Engineer
Tampa, FL · On-site
Review design documents and identity scope items with cost implications * Combine quantity take-off information and scope information into a completed Comparison of Bid (COB) sheet and use the ...
Preconstruction Engineer
Tampa, FL · On-site
Review design documents and identity scope items with cost implications * Combine quantity take-off information and scope information into a completed Comparison of Bid (COB) sheet and use the ...
Preconstruction Engineer
Coral Gables, FL · On-site
Review design documents and identity scope items with cost implications * Combine quantity take-off information and scope information into a completed Comparison of Bid (COB) sheet and use the ...
Preconstruction Engineer
Coral Gables, FL · On-site
Review design documents and identity scope items with cost implications * Combine quantity take-off information and scope information into a completed Comparison of Bid (COB) sheet and use the ...
Universal Banker Part-Time (20 Hours) - Cos Cob Branch
Cos Cob, CT · On-site
$50K - $65K/yr
High School diploma or equivalent This provides a high-level review of the types of work performed ... Cos Cob Connecticut United States Primary Location Full Time Salary Range: $50,030.00 - $65,270.00 ...
Universal Banker Part-Time (20 Hours) - Cos Cob Branch
Cos Cob, CT · On-site
$50K - $65K/yr
High School diploma or equivalent This provides a high-level review of the types of work performed ... Cos Cob Connecticut United States Primary Location Full Time Salary Range: $50,030.00 - $65,270.00 ...
Insurance Verification Lead - Eagle or Summit County, CO
$24.30 - $30.67/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Insurance Verification Lead - Eagle or Summit County, CO
$24.30 - $30.67/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Insurance Verification Lead - Eagle or Summit County, CO
Edwards, CO · On-site
$18.75 - $23.25/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Insurance Verification Lead - Eagle or Summit County, CO
Edwards, CO · On-site
$18.75 - $23.25/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Insurance Verification Lead - Eagle or Summit County, CO
Edwards, CO · On-site
$24.30 - $30.67/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Quick apply
Insurance Verification Lead - Eagle or Summit County, CO
Edwards, CO · On-site
$24.30 - $30.67/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Insurance Verification Lead - Eagle or Summit County, CO
Edwards, CO · On-site
$24.30 - $30.67/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Insurance Verification Lead - Eagle or Summit County, CO
Edwards, CO · On-site
$24.30 - $30.67/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Insurance Verification Lead - Eagle or Summit County, CO
Edwards, CO · On-site
$18.75 - $23.25/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Insurance Verification Lead - Eagle or Summit County, CO
Edwards, CO · On-site
$18.75 - $23.25/hr
Eligibility Verification & COB Management * Oversee and standardize eligibility verification ... Review Synergen's monthly front-end performance summary and implement corrective actions, workflow ...
Care Review Processor I
Columbus, OH · On-site
Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 ... COB status. Verify inpatient hospital census-admits and discharges. Perform action required per ...
Care Review Processor I
Columbus, OH · On-site
Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 ... COB status. Verify inpatient hospital census-admits and discharges. Perform action required per ...
Service Rep OPL / OPEIU
New York, NY · On-site +1
$22.81/hr
... by reviewing correspondence, coordination of benefits (COB) module, and claim inquiry history; follows desk levels, standard operating procedures and COB guidelines. • Researches, prepares ...
Service Rep OPL / OPEIU
New York, NY · On-site +1
$22.81/hr
... by reviewing correspondence, coordination of benefits (COB) module, and claim inquiry history; follows desk levels, standard operating procedures and COB guidelines. • Researches, prepares ...
Service / Claims Rep FEP / OPEIU
New York, NY · On-site +1
... by reviewing correspondence, coordination of benefits (COB) module, and claim inquiry history; follows desk levels, standard operating procedures and COB guidelines. • Researches, prepares ...
Service / Claims Rep FEP / OPEIU
New York, NY · On-site +1
... by reviewing correspondence, coordination of benefits (COB) module, and claim inquiry history; follows desk levels, standard operating procedures and COB guidelines. • Researches, prepares ...
Director of Student Advancement and Experiential Programs
Chicago, IL · On-site
$80K/yr
Align all student-facing initiatives with COB mission, strategic priorities, and ACBSP ... Establish key performance indicators (KPI) with goals and metrics that will be reviewed at the end ...
Director of Student Advancement and Experiential Programs
Chicago, IL · On-site
$80K/yr
Align all student-facing initiatives with COB mission, strategic priorities, and ACBSP ... Establish key performance indicators (KPI) with goals and metrics that will be reviewed at the end ...
Determines claim disposition by reviewing correspondence, coordination of benefits (COB) module, and claim inquiry history; follows desk levels, standard operating procedures and COB guidelines.
Determines claim disposition by reviewing correspondence, coordination of benefits (COB) module, and claim inquiry history; follows desk levels, standard operating procedures and COB guidelines.
Care Review Processor
Columbus, OH · On-site
... COB status, o Verify inpatient hospital census-admits and discharges, o Perform action required per protocol using the appropriate Database. ? Respond to requests for authorization of services ...
Care Review Processor
Columbus, OH · On-site
... COB status, o Verify inpatient hospital census-admits and discharges, o Perform action required per protocol using the appropriate Database. ? Respond to requests for authorization of services ...
Service Rep OPL / OPEIU
New York, NY · On-site
$22.81/hr
Determines claim disposition by reviewing correspondence, coordination of benefits (COB) module, and claim inquiry history; follows desk levels, standard operating procedures and COB guidelines.
Service Rep OPL / OPEIU
New York, NY · On-site
$22.81/hr
Determines claim disposition by reviewing correspondence, coordination of benefits (COB) module, and claim inquiry history; follows desk levels, standard operating procedures and COB guidelines.
Cob Review information
See salary details
$19.23 - $20.54
4% of jobs
$20.54 - $21.85
3% of jobs
$21.85 - $23.16
1% of jobs
$23.16 - $24.48
1% of jobs
$24.48 - $25.79
10% of jobs
$25.79 - $27.10
5% of jobs
$27.13 is the 25th percentile. Wages below this are outliers.
$27.10 - $28.41
11% of jobs
The median wage is $29.67 / hr.
$28.41 - $29.72
15% of jobs
$29.72 - $31.03
15% of jobs
$31.91 is the 75th percentile. Wages above this are outliers.
$31.03 - $32.34
14% of jobs
$32.34 - $33.65
20% of jobs
$19
$29
$33
How much do cob review jobs pay per hour?
What is the difference between Cob Review vs Cob Auditor?
| Aspect | Cob Review | Cob Auditor |
|---|---|---|
| Credentials | Typically requires certification in COB review or related compliance training | Often requires similar certifications, with additional auditing credentials |
| Work Environment | Primarily office-based, reviewing COB documentation and compliance | Office and field work, including on-site audits and reviews |
| Industry Usage | Common in healthcare, insurance, and financial sectors | Used in healthcare, insurance, and regulatory agencies |
| Job Focus | Focuses on reviewing COB policies and ensuring compliance | Focuses on auditing COB processes and verifying accuracy |
While both Cob Review and Cob Auditor roles involve compliance and review tasks, Cob Review primarily concentrates on assessing COB documentation and policies, whereas Cob Auditor emphasizes verifying the accuracy and integrity of COB processes through audits. Both roles require similar certifications and are integral in healthcare and insurance industries.
How to get a job as a Cob Review?

Other
Medical
Re-posted 16 days ago
EmblemHealth rating
9.4
Based on 5 frontline employees who took The Breakroom Quiz
7th of 301 rated insurance
Job description
REMOTE
Summary of Position
- Responsible for leading and optimizing the organization's secondary payer and revenue recovery processes across all lines of business, establishing performance metrics and accountability standards aligned with organizational goals.
- Lead, supervise, and develop a team of COB Specialists, establishing performance metrics and accountability standards aligned with organizational goals
- Ensure accurate identification and management of Other Health Insurance (OHI), compliance with CMS and regulatory requirements, and operational excellence within COB functions.
- Monitor and analyze COB metrics, denial trends, and recovery outcomes; implement process improvements to enhance operational effectiveness.
- Drive strategic initiatives to reduce claim overpayment, improve recovery outcomes, and strengthen financial performance while maintaining regulatory integrity.
Principal Accountabilities
- Oversee end-to-end COB operations, including identification and validation of Other Health Insurance (OHI), Medicare Secondary Payer (MSP) processing, and commercial coordination rules. Ensure accurate application of Medi Investigate and resolve complex COB claim denials, payment disputes, and escalated provider or member inquiries.
- Ensure accurate application of Medicare, Medicaid, Essential Plan, Exchange, and Commercial Group Health Plan COB rules.
- Ensure full compliance with Centers for Medicare & Medicaid Services (CMS) regulations, including Medicare Secondary Payer (MSP) requirements, and Section 111 quarterly filings.
- Maintain adherence to federal and state COB regulations across all product lines, including Medicaid and Exchange plans.
- Investigate and resolve complex COB claim denials, payment disputes, and escalated provider or member inquiries.
- Identify root cause of issues and work with internal teams to improve processes and close process gaps.
- Collaborate and work cross-functionally with other operational areas (Claims, Provider Network Management, Contract Configuration, Provider File Operations, Payment Integrity, etc.) to ensure root causes are remediated for both overpayment and underpayments.
- Lead internal and external compliance audits and regulatory obligations.
- Implement corrective action plans in response to audit findings, regulatory updates, or compliance reviews.
- Support internal and external audits by maintaining accurate documentation, policies, and standard operating procedures.
- Partner with Claims, Enrollment, Finance, Compliance, and IT to ensure data integrity, accurate eligibility verification, and system optimization.
- Responsible for vendor relationships and recovery audit processes, as applicable.
- Develop and deliver ongoing team training to ensure regulatory updates, policy changes, and system enhancements are effectively implemented.
- Perform other duties as assigned or required.
Qualifications
- 5 - 8+ years' relevant work experience in claims operations within a health insurance carrier environment required
- Bachelor's degree required; additional experience/specialized training may be considered in lieu of degree
- Demonstrated expertise in Medicare, Medicaid, Essential Plan, Exchange, and Commercial Group Health Plan Coordination of Benefits rules required
- 5+ years' experience managing staff / processes required
- In-depth knowledge of HIPAA regulations and CMS guidelines, including Medicare Secondary Payer requirements required
- Strong understanding of COB investigative processes, overpayment recovery methodologies, and denial management required
- Proficiency with claims processing platforms such as Facets and related eligibility and enrollment systems required
- Advanced analytical skills with the ability to interpret claims data, identify trends, and implement corrective strategies required
- Excellent communication and leadership skills with the ability to drive accountability and cross-functional collaboration required
- Strong organizational and auditing skills and attention to detail with a focus on operational efficiency and compliance integrity required
- Ability to effectively organize, prioritize, and manage multiple tasks/projects with simultaneous conflicting deadlines required
- Strong analytic, decisionmaking, and problemsolving abilities required
- Proficient with MS Office (Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc.) required
- Demonstrated leadership skills in a matrix environment required
- Ability to discern and identify patterns/trends of issues and provide recommendations for resolution required
- Requisition ID: 1000003153
- Hiring Range: $77,760-$149,040
About EmblemHealth
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
New York, NY, US
Year founded
1937