Medical Insurance Collections Specialist

🕒 April 7

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Logo of Conduent

Conduent

10,000+ employees

Founded 2017

🤝 B2B

🛍️ eCommerce

🏛️ Government

💰 Venture Round on 2009-01

B2B • eCommerce • Government

Conduent is a leading provider of technology-led solutions aimed at enhancing customer experiences and improving operational efficiency for businesses and government agencies. The company offers a wide range of services, including customer experience management, finance and accounting solutions, human capital management, integrated digital solutions, and specialized services for healthcare and public sector clients. By leveraging automation and analytics, Conduent helps organizations streamline processes and drive business success.

📋 Description

• Recover medical claim overpayments through phone, email, and fax outreach • Analyze claims data to identify overpayments and determine recovery actions • Handle provider disputes, appeals, and complex collection scenarios • Coordinate with clients and providers to process adjustments and reversals • Maintain accurate follow-ups to ensure timely resolution • Develop effective collection strategies to maximize recovery • Communicate clearly with internal teams and external partners

🎯 Requirements

• Minimum 2 years of medical billing and/or insurance collections experience and account management • Strong understanding of Medical claims processing and reimbursement • Medicare (Parts A, B, C, D), Medicaid, and commercial insurance • Coordination of Benefits (COB) • Claim denials, appeals, and rebilling processes • Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) • CPT and ICD-9/10 coding • Healthcare settings (inpatient, outpatient, pharmacy, etc.) • Ability to identify and explain overpayment types (duplicates, contractual, PPO, bundled claims, etc.) • Must be able to successfully complete a background check and drug screening • Associate degree or equivalent combination of education and experience • Strong analytical, organizational, and problem-solving skills • Excellent verbal and written communication • Ability to manage high call volume and work independently • Proficiency in Microsoft Office (Word, Excel, Outlook) • Strong customer service and negotiation skills

🏖️ Benefits

• health insurance coverage • voluntary dental and vision programs • life and disability insurance • a retirement savings plan • paid holidays • paid time off (PTO) or vacation and/or sick time

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