Remote Medical Benefit Review Specialist

Conduent; Arkansas; Remote; USD 34,000 - 43,000; Full time

Benefits offered by this job

Health insurance

Dental & Vision

Retirement plan

PTO

Job summary

Conduent is seeking a Medical Benefits Review Associate to provide analytical support on Medicare, Medicaid and Commercial claim overpayments. The role focuses on reviewing paid and adjusted claims, verifying member eligibility, and documenting findings in client systems to ensure accuracy.

The position is fully remote with a Monday–Friday schedule. Candidates should have healthcare/benefits knowledge, strong research skills, and the ability to work independently within a remote team, with

Qualifications

• High school diploma or GED required.
• Pass preemployment background check and drug screening.
• Background in benefit/coverage concepts desired.
• Basic knowledge of insurance procedures with Medicare/Medicaid.
• Experience with data entry / medical claims data entry processing.
• Professional verbal and written communication skills required.

Responsibilities

• Review paid claims, adjusted claims, and offset claims in the client system.
• Review member eligibility and update eligibility records.
• Investigate and communicate questionable situations.
• Document findings from the client system in related systems.
• Communicate effectively with staff and team members.
• Work independently based on established procedures.

Skills

Analytical thinking

Data entry

Communication skills

Healthcare terminology

Remote collaboration

Tools

Microsoft Office

Job description

Conduent is seeking a Medical Benefits Review Associate to provide analytical support on Medicare, Medicaid and Commercial claim overpayments. The role focuses on reviewing paid and adjusted claims, verifying member eligibility, and documenting findings in client systems to ensure accuracy.

The position is fully remote with a Monday–Friday schedule. Candidates should have healthcare/benefits knowledge, strong research skills, and the ability to work independently within a remote team, with