Medical Benefit Review Services Associate

🕒 October 2

🏈 Alabama, Arizona, +33 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $18 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🤝 B2B

☁️ SaaS

🏢 Enterprise

💰 $93M Post-IPO Debt - Conduent on 2025-08

B2B • SaaS • Enterprise

Conduent is...

📋 Description

• Review paid claims, adjusted claims, and offset claims in the client system • Review and update member eligibility • Investigate and communicate questionable situations • Document findings from the client system in related systems • Communicate effectively with staff and team members • Provide analytical support to CPIS overpayment programs for Medicare, Medicaid, and Commercial claim overpayments identified through audits • Work independently based on established procedures

🎯 Requirements

• Must be 18 or older to apply • Must have a high school diploma or GED • Must successfully pass a preemployment criminal background check and drug screening • Basic knowledge of insurance procedures and experience working with insurance carriers, Medicare, and Medicaid • Experience with data entry / medical claims data entry processing • Professional verbal and written communication skills • Proficiency with Microsoft Office (Word, Excel, and Outlook) • Understanding of medical terminology and healthcare eligibility processes • Strong investigative, research, and critical thinking skills • Strong organizational and multitasking abilities • Ability to work independently while collaborating effectively with a remote team • Must pass an internet speed test: download ≥25, upload ≥5, ping ≤175 ms • Must be able to connect with an ethernet cable to a modem/router • Must live in an eligible state: Alabama, Arkansas, Arizona, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, or Wyoming

🏖️ Benefits

• Eligible for benefits day 1 • Health insurance coverage • Voluntary dental and vision programs • Life and disability insurance • Retirement savings plan • Paid holidays • Paid time off (PTO) or vacation and/or sick time • Fully remote position • Flexible Monday-Friday schedule • No weekends required • Collaborative team environment • Bonus or incentive eligibility based on business need