Medical Benefit Review Services Associate

🔥 9 minutes ago

🏈 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

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🏥 Healthcare

📦 Logistics

💼 Consulting

💰 Venture Round on 2009-01

Healthcare • Logistics • Consulting

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

• 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 • Provide analytical support to CPIS overpayment programs • Access client claims systems for Medicare, Medicaid, and Commercial claim overpayments identified through audits • Communicate effectively with staff and team members • Work independently based on established procedures • Research insurance eligibility and medical claims • Deliver accurate, high-quality work

🎯 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 Mbps, upload ≥5 Mbps, ping ≤175 ms • Must be able to connect with an ethernet cable to a modem/router • Must live in an eligible listed state • Must be able to work Monday-Friday, 8:00 AM-4:30 PM EST

🏖️ 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 • Potential bonus or incentive based on business need