Remote Medical Benefits Review Analyst

Conduent; South Dakota Park (SD); A distancia; USD 34.000 - 43.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance coverage

Dental and vision programs

Life and disability insurance

Retirement savings plan

Paid holidays

Paid time off (PTO)

Descripción de la vacante

Conduent is seeking a Medical Benefits Review Associate to support Medicare, Medicaid and commercial claims with meticulous analysis. This remote role emphasizes accuracy in determining eligibility and resolving complex insurance issues for a fast-paced environment.

You will review paid and adjusted claims, verify member eligibility, and document findings across client systems. The position offers a fully remote schedule, a Monday–Friday workweek, and benefits starting on day one.

Formación

• Must be 18+ to apply.
• High school diploma or GED required.
• Pass preemployment background check and drug screening.
• Background in benefit/coverage concepts desired.
• Basic knowledge of insurance procedures and Medicare/Medicaid.
• Experience with data entry of medical claims data.
• Proficient in Microsoft Office.
• Excellent verbal and written communication.
• Understanding of medical terminology and eligibility processes.
• Strong investigative, research, and critical thinking skills.
• Strong organizational and multitasking abilities.
• Able to work independently while remote.

Responsabilidades

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

Conocimientos

Data entry

Medical claims entry

Insurance procedures

Attention to detail

Communication skills

Microsoft Office

Independent work

Remote collaboration

Educación

High school diploma or GED

Descripción del empleo

Conduent is seeking a Medical Benefits Review Associate to support Medicare, Medicaid and commercial claims with meticulous analysis. This remote role emphasizes accuracy in determining eligibility and resolving complex insurance issues for a fast-paced environment.

You will review paid and adjusted claims, verify member eligibility, and document findings across client systems. The position offers a fully remote schedule, a Monday–Friday workweek, and benefits starting on day one.