Remote Medical Benefits Review Specialist

Conduent; Athens (GA); Teletrabalho; USD 34 000 - 43 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

Dental & vision

Life and disability insurance

Retirement savings plan

Paid holidays

PTO / vacation and sick time

Resumo da oferta

Conduent is seeking a Medical Benefits Review Associate to provide analytical support for overpayment programs across Medicare, Medicaid, and Commercial claims in a fully remote setting.

This role emphasizes analyzing insurance eligibility, researching medical claims, and delivering accurate work. You will review claims, verify eligibility, and collaborate with a remote team to resolve issues efficiently.

Qualificações

• Must be 18 or older to apply.
• Must have a high school diploma or GED.
• Must pass a preemployment background check and drug screen.
• Background in benefit/coverage concepts desired.
• Basic knowledge of insurance procedures, Medicare and Medicaid.
• Experience with data entry / medical claims data entry processing.
• Professional verbal and written communication skills.
• Proficiency with Microsoft 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.

Responsabilidades

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

Conhecimentos

Analytical skills

Detail oriented

Communication

Problem solving

Formação académica

High school diploma or GED

Ferramentas

Microsoft Excel

Microsoft Word

Outlook

Descrição da oferta de emprego

Conduent is seeking a Medical Benefits Review Associate to provide analytical support for overpayment programs across Medicare, Medicaid, and Commercial claims in a fully remote setting.

This role emphasizes analyzing insurance eligibility, researching medical claims, and delivering accurate work. You will review claims, verify eligibility, and collaborate with a remote team to resolve issues efficiently.