Remote Benefits Coordinator | COB & Medicare Expert

Conduent

United States

À distance

USD 40 000 - 46 000

Plein temps

Il y a 9 heures
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Avantages offerts par ce poste

Fully remote
Flexible schedule
Benefits day 1
No weekends

Résumé du poste

Conduent is seeking a Benefits Coordinator to support Medicare and COB processes in a fully remote role. You will verify insurance coverage, determine payer order, and communicate with carriers and providers to ensure compliant and accurate claims processing.

The ideal candidate brings 2+ years COB healthcare experience or 4+ years in related areas, strong analytical and communication skills, and proficiency in Microsoft Office. This role offers a flexible weekday schedule and remote work.

Qualifications

  • High School Diploma or GED required.
  • Must pass a pre-employment background check and drug screening.
  • 2+ years healthcare COB experience in provider, payer, or vendor settings.
  • OR 4+ years in Insurance Verification, Medical Billing, Claims Processing, Auditing, Reimbursement, or Data Analysis.
  • Working knowledge of COB guidelines; familiarity with CMS and NAIC COB rules.

Responsabilités

  • Investigate and determine correct benefits for members with multiple plans.
  • Review eligibility, coverage, and documentation to verify payer order.
  • Contact carriers, CMS, employers, providers, and members via phone/email to validate coverage.
  • Research complex eligibility issues and apply CMS/NAIC guidelines for primary/secondary coverage.
  • Document findings accurately in company systems with complete records.
  • Review EOBs and related docs to support payment determinations.
  • Process COB correspondence and update eligibility records as needed.
  • Handle inbound/outbound COB inquiries and meet productivity goals.
  • Maintain HIPAA compliance and adhere to regulations.
  • Collaborate with teammates remotely and identify process improvements.

Connaissances

Analytical skills
Investigation
Critical thinking
Verbal communication
Written communication
Customer service
Remote collaboration
Microsoft Office

Formation

High School Diploma or GED

Outils

Microsoft Office Suite

Description du poste

Conduent is seeking a Benefits Coordinator to support Medicare and COB processes in a fully remote role. You will verify insurance coverage, determine payer order, and communicate with carriers and providers to ensure compliant and accurate claims processing.

The ideal candidate brings 2+ years COB healthcare experience or 4+ years in related areas, strong analytical and communication skills, and proficiency in Microsoft Office. This role offers a flexible weekday schedule and remote work.

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