Remote Medical Benefits Review Specialist

Conduent; Bastrop (LA); Remote; USD 34,000 - 43,000; Full time

Benefits offered by this job

Fully remote

Weekday schedule

No weekends

Benefits day 1

Competitive pay

Job summary

Conduent is seeking a Medical Benefits Review Services Associate II to provide analytical support for CPIS overpayment programs, handling Medicare, Medicaid and commercial claim overpayments in a fully remote setting.

You will review paid, adjusted and offset claims, verify member eligibility, and document findings while communicating with team members. This role requires strong research, investigative, and communication skills and offers day-one benefits.

Qualifications

• Must be 18 or older to apply.
• Must have a high school diploma or GED.
• Must be able to successfully pass a preemployment criminal 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

Analytical thinking

Verbal communication

Written communication

Research skills

Attention to detail

Independent work

Remote collaboration

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Conduent is seeking a Medical Benefits Review Services Associate II to provide analytical support for CPIS overpayment programs, handling Medicare, Medicaid and commercial claim overpayments in a fully remote setting.

You will review paid, adjusted and offset claims, verify member eligibility, and document findings while communicating with team members. This role requires strong research, investigative, and communication skills and offers day-one benefits.