Remote Medical Benefits Analyst — Claims & Eligibility

Conduent; Crystal Bay (NV); Remote; USD 20,000 - 29,000; Full time

Benefits offered by this job

Fully remote position

Flexible Monday-Friday schedule

No weekends required

Competitive starting pay

Collaborative team environment

Eligible for benefits day 1

Job summary

Conduent seeks a Medical Benefits Review Associate to analyze Medicare, Medicaid and commercial claim overpayments remotely. You will review claims, verify eligibility, and document findings within client systems, supporting overpayment programs with accuracy.

Ideal candidates have strong data-entry, analytical, and communication skills, plus familiarity with insurance concepts. The role offers a Monday–Friday schedule and benefits from day one.

Qualifications

• Must be 18 or older to apply.
• Must have a high school diploma or GED.
• Must pass preemployment background check and drug screening.
• Background in benefit/coverage concepts desired.
• Data entry / medical claims data entry processing experience.
• Proficient in MS Office (Word, Excel, Outlook).
• Understanding of medical terminology and eligibility processes.
• Strong investigative, research, and critical thinking skills.
• Excellent verbal and written communication skills.
• Strong organizational and multitasking abilities.
• Ability to work independently while collaborating with a remote team.

Responsibilities

• Review paid, adjusted, and offset claims in the client system.
• Review member eligibility and update eligibility.
• Investigates and communicates questionable situations.
• Documents findings from the client system in the related systems.
• Communicate effectively with other staff/team members.
• Works independently based on established procedures.

Skills

Verbal communication

Written communication

Analytical thinking

Attention to detail

Data entry

Education

High school diploma or GED

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Conduent seeks a Medical Benefits Review Associate to analyze Medicare, Medicaid and commercial claim overpayments remotely. You will review claims, verify eligibility, and document findings within client systems, supporting overpayment programs with accuracy.

Ideal candidates have strong data-entry, analytical, and communication skills, plus familiarity with insurance concepts. The role offers a Monday–Friday schedule and benefits from day one.