Benefits Coordinator

Conduent; El Paso (TX); Remote; USD 40,000 - 46,000; Full time

Benefits offered by this job

Fully remote

Flexible schedule

Competitive pay

Remote team environment

Job summary

Conduent is hiring a Benefits Coordinator for a fully remote, weekday role with a 9:00 AM - 5:30 PM EST schedule. You will analyze insurance coverage, verify eligibility, and manage COB processes to ensure accurate claims handling in a HIPAA-compliant environment.

The role requires healthcare COB experience, strong communication, and the ability to work independently within a remote team. Experience with Medicare rules and NAIC guidelines is a plus.

Qualifications

• Must have a high school diploma or GED.
• 2+ years of COB/healthcare experience or 4+ years in listed areas.
• Knowledge of COB guidelines, Medicare CMS, and NAIC.
• Strong communication and remote-work capability.
• Proficiency with Microsoft Office.

Responsibilities

• Determine correct benefits for members with multiple plans.
• Review eligibility, coverage, and payer order.
• Contact carriers, CMS, providers, and members to validate coverage.
• Research COB issues and apply guidelines to determine coverage.
• Document findings in company systems with detailed records.
• Review EOBs to support payment determinations.
• Process COB correspondence and update eligibility records.
• Handle inbound/outbound COB inquiries.
• Meet productivity, quality, and turnaround goals.
• Maintain HIPAA compliance and legal requirements.
• Collaborate with teammates while working remotely.
• Identify opportunities to improve processes and documentation.

Skills

Investigative skills

Research skills

Critical thinking

Verbal communication

Written communication

Customer service

Independent work

Microsoft Office

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Benefits Coordinator

Pay: Starting at $20.00/hour (based on experience), which may be below your state's minimum wage. Please take this into consideration when applying.

Schedule: Monday-Friday | 9:00 AM - 5:30 PM EST

Location: Fully Remote

About this role

Are you experienced a Benefits Coordinator, Medicare, insurance verification, healthcare claims, or medical billing? We're looking for a detail-oriented healthcare professional who enjoys solving complex insurance coverage issues and working in a fast-paced remote environment.

As a Benefits Coordinator, you'll investigate insurance coverage, determine the correct order of benefits, communicate with insurance carriers and healthcare providers, and ensure claims are processed accurately while remaining compliant with Medicare and federal regulations.

If you have strong analytical skills, enjoy researching insurance eligibility, and take pride in delivering accurate, high-quality work, we'd love to hear from you.

Key Responsibilities

• Investigate and determine the correct benefits for members with multiple health insurance plans.
• Review insurance eligibility, policy coverage, and documentation to verify the proper payer order.
• Contact insurance carriers, Medicare (CMS), employer groups, healthcare providers, and members by phone, email, fax, and mail to validate coverage information.
• Research complex healthcare eligibility issues and apply Medicare CMS and NAIC guidelines to determine primary and secondary coverage.
• Document findings accurately in company systems while maintaining complete and detailed records.
• Review Explanation of Benefits (EOBs) and other insurance documentation to support payment determinations.
• Process incoming COB correspondence and updating eligibility records as needed.
• Handle inbound and outbound calls related to Coordination of Benefits inquiries.
• Meet established productivity, quality, and turnaround time goals.
• Maintain HIPAA compliance and adhere to all federal, state, and client requirements.
• Collaborate with teammates while working independently in a remote environment.
• Identify opportunities to improve processes, documentation, and communication.

Required Qualifications

• Must have a high school diploma or GED
• Must be able to successfully pass a pre-employment criminal background check and drug screening
• Minimum of 2 years of healthcare experience involving Coordination of Benefits (COB) in a provider, payer, or healthcare vendor environment OR 4+ years of experience in one or more of the following:
• Insurance Verification
• Medical Billing
• Healthcare Claims Processing
• Claims Auditing
• Medical Reimbursement
• Healthcare Data Analysis
• Working knowledge of Coordination of Benefits (COB) guidelines.
• Knowledge of Medicare (CMS) regulations and NAIC Coordination of Benefits guidelines.
• Understanding of medical terminology and healthcare eligibility processes.
• Strong investigative, research, and critical thinking skills.
• Excellent verbal and written communication skills.
• Ability to explain complex insurance information clearly and professionally.
• Strong customer service skills with the ability to communicate confidently with insurance carriers, providers, employer groups, and members.
• Proficiency with Microsoft Office (Word, Excel, and Outlook).
• Ability to work independently while collaborating effectively with a remote team.

Why You'll Love This Opportunity

• Fully remote position
• Flexible Monday-Friday schedule
• No weekends required
• Competitive starting pay
• Collaborative team environment

Requirements

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

Live in one of the following states, AL, AR, AZ, CO CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ,NM, NC, OH, OK, PA, RI, SC, SD, TN, TX,UT, VT, VA, WA, WV, WI, WY

We are currently NOT hiring in the following geographies, included but not limited to:

• States: AK, CA, CT, HI, MA, IL, MT & NY
• Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DCPay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $39,960-$46,200.

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.