Remote Medical Benefits & Claims Review Associate

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

Benefits offered by this job

Fully remote position

Benefits day 1 eligibility

Health insurance coverage

Dental and vision programs

Life and disability insurance

Retirement savings plan

Paid holidays and PTO

Job summary

Conduent is seeking a Medical Benefits Review Associate to join our remote team. You will analyze Medicare, Medicaid and Commercial claim overpayments, review paid and adjusted claims, and verify member eligibility while delivering accurate, high-quality work in a fast-paced remote environment.

The ideal candidate has strong analytical, research, and communication skills, experience with medical terminology, and comfort using MS Office.

Qualifications

• Must be 18 or older to apply.
• Must have a high school diploma or GED.
• Must be able to pass a preemployment background check and drug screening.
• Background in benefit/coverage concepts desired.
• Basic knowledge of insurance procedures, working with insurance carriers, Medicare, and Medicaid.
• Experience with data entry / medical claims data entry processing.
• Professional verbal and written communication skills required.
• Proficiency with Microsoft Office (Word, Excel, and Outlook).
• Understanding of medical terminology and healthcare 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 effectively with a remote team.

Responsibilities

• Review of paid claims, adjusted claims, and offset claims in the client system.
• Review of member eligibility, update of member 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

Data entry

Analytical skills

Verbal and written communication

Multitasking

Independent work

Remote collaboration

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Conduent is seeking a Medical Benefits Review Associate to join our remote team. You will analyze Medicare, Medicaid and Commercial claim overpayments, review paid and adjusted claims, and verify member eligibility while delivering accurate, high-quality work in a fast-paced remote environment.

The ideal candidate has strong analytical, research, and communication skills, experience with medical terminology, and comfort using MS Office.