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Medical Benefit Review Services Associate

🕒 Yesterday

🏈 Alabama, Arizona, +33 more states – Remote

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💵 $34.3k - $42.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Conduent

Conduent

10,000+ employees

Founded 2017

🤝 B2B

☁️ SaaS

🏢 Enterprise

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

B2B • SaaS • Enterprise

Conduent is...

📋 Description

• Provide analytical support to CPIS overpayment programs via access to client claims systems • 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 other staff/team members • Work independently based on established procedures • Research insurance eligibility and medical claims • Identify and process Medicare, Medicaid, and Commercial claim overpayments

🎯 Requirements

• Must be 18 or older to apply • Must have a high school diploma or GED • Must be able to successfully pass a preemployment criminal background check and drug screening • Basic knowledge of insurance procedures, working with insurance carriers, Medicare, and Medicaid • Experience with data entry / medical claims data entry processing • Professional verbal and written communication skills required • Proficiency with Microsoft Office (Word, Excel, and Outlook) • Understanding of medical terminology and healthcare eligibility processes • Strong investigative, research, and critical thinking skills • Excellent verbal and written communication skills • Strong organizational and multitasking abilities • Ability to work independently while collaborating effectively with a remote team • Must pass an internet speed test (download equal to or greater than 25, upload equal to or greater than 5, Ping ms equal to or less than 175) • Must have the ability to connect with an ethernet cable to a modem/router • Must live in one of the listed eligible states • Background in benefit/coverage concepts desired

🏖️ Benefits

• Fully remote position • Flexible Monday-Friday schedule • No weekends required • Competitive starting pay • Collaborative team environment • 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 • May be eligible for a bonus or incentive

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