Medical Review Auditor Analyst Remote - Charlotte Area

Conduent Securities Services, Inc.; Charlotte (NC); Remote; USD 57,000 - 75,000; Full time

Job summary

Conduent is seeking a Medical Review Auditor Analyst to work with hospital clients, focusing on auditing medical bills and ensuring accuracy in billing processes. This role offers flexibility to work remotely within the Charlotte area and encompasses responsibilities including comprehensive auditing in compliance with regulatory standards. Candidates should have a strong background in healthcare billing and a commitment to customer satisfaction.

Benefits

Health and Welfare Benefits

Retirement Savings

Employee Discounts

Career Growth Opportunities

Training and learning platforms

Great Work Environment

Qualifications

• Bachelor’s degree or 10 years hospital billing experience.
• Strong background in auditing and healthcare.
• Proficiency in Microsoft Office.

Responsibilities

• Auditing medical bills for accuracy and reimbursement issues.
• Conducting audits using methodologies to identify overpayments.
• Ensuring adherence to client policies and guidelines.

Skills

Auditing

Customer service

Mathematics

Communication

Education

Bachelor’s degree in Healthcare Administration, Business Management

Tools

Microsoft Office

Industry-specific software

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 Analystto 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.

Join Us

At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates. We strive to create a culture where you can:

• Bring your authentic self to work.
• Grow and thrive, both personally and professionally
• Make a difference with our clients, in our communities, and with the millions of people we support.

When you join Conduent, you are engaged in creating the future - both our company’s and your own. With more than 50,000 associates across 24 countries, we will provide you the opportunity to grow with a team of people who will challenge and inspire you to be the best.

Pay Transparency:Certain jurisdictions require the disclosure of compensation and benefits-related information. For this position, actual salaries will vary and may be above or below the range based on factors including but not limited to location, experience, and performance. In addition to base pay, this position may be eligible for bonuses or incentives. Conduent offers a variety of benefits including health insurance, dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and sick time. The estimated salary range for this role is ($57,750 - $75,000)

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.

People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment [e-mail] may alsoclick here to access Conduent's ADAAA Accommodation Policy.

At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.