Remote Medical Benefits Review Specialist

Conduent; Bristol (RI); Remote; USD 20,000 - 29,000; Full time

Benefits offered by this job

Fully remote

Flexible schedule

Benefits from day 1

Job summary

Conduent seeks a Medical Benefits Review Associate to analyze Medicare/Medicaid/commercial claim data in a fully remote environment. You will review paid and adjusted claims, verify eligibility, and document findings while collaborating with the team in a structured process.

The role emphasizes analytical problem solving, accurate data entry, and strong communication. A Monday–Friday schedule with EST hours is offered, and benefits start day one.

Qualifications

• High school diploma or GED required.
• Background check and drug screening required.
• Experience with data entry or medical claims data entry.
• Knowledge of insurance procedures, Medicare, and Medicaid.
• Strong communication skills (verbal and written).
• Proficiency with Microsoft Office suite.

Responsibilities

• Review paid, adjusted, and offset claims in the client system.
• Review member eligibility and update eligibility status.
• Investigate and communicate questionable situations.
• Document findings in client systems.
• Communicate effectively with staff and work independently.
• Work in a remote team environment following established procedures.

Skills

Analytical thinking

Verbal and written communication

Detail-oriented

Independent with remote teamwork

Insurance/benefits knowledge

Data entry accuracy

Education

High school diploma or GED

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Conduent seeks a Medical Benefits Review Associate to analyze Medicare/Medicaid/commercial claim data in a fully remote environment. You will review paid and adjusted claims, verify eligibility, and document findings while collaborating with the team in a structured process.

The role emphasizes analytical problem solving, accurate data entry, and strong communication. A Monday–Friday schedule with EST hours is offered, and benefits start day one.