Remote Medical Benefits & Eligibility Analyst

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

Benefits offered by this job

Health insurance

Dental & Vision insurance

Life insurance

Disability insurance

Retirement savings plan

Paid holidays

PTO / vacation

Job summary

Conduent is seeking a Medical Benefits Review Associate for a fully remote role with a Monday–Friday schedule. The position focuses on analytical support for Medicare, Medicaid, and Commercial overpayments, requiring strong data-entry and investigative skills.

Candidates should have healthcare eligibility knowledge, excellent communication, and the ability to work independently in a remote team. Benefits are available from day 1, with a salary range noted in the posting.

Qualifications

• 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

Professional verbal and written comms

Investigative, research, critical-thin

Organizational and multitasking

Independent work with remote team

Microsoft Office proficiency

Benefit/coverage concepts

Insurance procedures knowledge

Medical claims data entry processing

Medical terminology & eligibility

Strong verbal & written communication

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

Conduent is seeking a Medical Benefits Review Associate for a fully remote role with a Monday–Friday schedule. The position focuses on analytical support for Medicare, Medicaid, and Commercial overpayments, requiring strong data-entry and investigative skills.

Candidates should have healthcare eligibility knowledge, excellent communication, and the ability to work independently in a remote team. Benefits are available from day 1, with a salary range noted in the posting.