Medical Review Auditor Analyst Remote - Charlotte Area

Conduent Business Services; Charlotte (NC); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading company is seeking a skilled Medical Review Auditor Analyst to work remotely in the Charlotte area. The role involves auditing medical bills for accuracy and ensuring compliance with regulations. Ideal candidates will have strong mathematical abilities and a background in hospital billing or auditing. Enjoy flexible working hours and valuable perks, including health benefits starting on day one.

Benefits

Health and Welfare Benefits

Retirement Savings

Employee Discounts

Career Growth Opportunities

Training opportunities

Great Work Environment

Qualifications

• 10 years of hospital billing experience may substitute for a degree.
• Experience in auditing, healthcare, or insurance is highly desired.
• Ability to thrive in a fast-paced environment.

Responsibilities

• Auditing medical bills for accuracy and overpayments.
• Conducting medical audits to identify healthcare inaccuracies.
• Developing and ensuring adherence to client policies.

Skills

Mathematical skills

Customer service

Communication skills

Proficiency in Microsoft Office

Education

Bachelor’s degree in Healthcare Administration, Business Management, or related fields

Job description

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. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Medical Review Auditor Analyst (Remote - Charlotte Area)

Are you a strong, smart, talented, accomplished, motivated, inspiring, trustworthy, and accountable professional? If that describes you, then please apply!

Job Summary :

Conduent is seeking an experienced Medical Review Auditor Analyst to join our team. This individual will work closely with our hospital-clients and internal stakeholders, utilizing industry / proprietary tools to ensure that audits are conducted successfully. You will be working remotely within the Charlotte area, with occasional travel required. You’ll report directly to the Sr. Operations Manager.

Work Schedule : Monday – Friday, first (1st) shift. This is an exempt / salaried position with benefits starting on your first day of employment.

Responsibilities :

• Auditing medical bills for unrelated charges, overpayments / reimbursements, and overall accuracy.
• Assessing payments against regulatory or administrative charges, coding, and billing errors to identify inaccuracies in billing or reimbursement.
• Conducting medical audits using methodologies to identify healthcare overpayments and underpayments to providers.
• Applying knowledge of provider billing and patient accounting systems to ensure accurate research for potential overpayments.
• Developing, maintaining, and ensuring adherence to client policies, regulations, and guidelines.
• Performing other tasks as directed by management.

Requirements :

• A bachelor’s degree in Healthcare Administration, Business Management, or related fields is highly desired, but not required. Ten (10) years of hospital billing experience may substitute for a degree.
• Must have hospital business office experience.
• Strong mathematical skills to perform audits accurately.
• Excellent customer service skills with the ability to collaborate with teams across the USA to ensure success and customer satisfaction.
• Proficiency in Microsoft Office and industry-specific software.
• Experience in an auditing role, healthcare industry, or insurance is highly desired but not required.
• Experience in industries such as Accounting, Finance, or Healthcare Administration is a plus.
• Ability to thrive in a fast-paced environment.
• Must be self-sufficient and able to work independently without constant supervision.
• Comfortable working remotely and occasionally onsite at client locations or hospitals.
• Strong communication skills (interpersonal, written, and verbal).
• Must be dependable and willing to travel as required.
• Must have a valid driver’s license.

Flexible Working

At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too.

In this role, you can expect the following working conditions :

• Remote work : Enjoy the convenience of working from home and maximize your time.
• Flexible Working Hours : Flex the times you work during the day, allowing you to balance your home life and work.

Working For You

Perks and rewards designed for you :

• Health and Welfare Benefits : Our health and welfare benefits can be tailored to fit your needs and start on the first day of employment.
• Retirement Savings : We support you as you invest in your future.
• Employee Discounts : We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
• Career Growth Opportunities : We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
• Training : Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
• Great Work Environment : We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.