Remote Medical Benefits Review Specialist

Conduent; Central City (CO); À distance; USD 20 000 - 29 000; Plein temps

Avantages offerts par ce poste

Health insurance

Bonus or incentive

Voluntary dental and vision programs

Life and disability insurance

Retirement savings plan

Paid holidays

Paid time off (PTO) or vacation and/or

Résumé du poste

Conduent is seeking a Medical Benefits Review Associate to join our fully remote team. This role focuses on analyzing Medicare, Medicaid, and Commercial claim overpayments and providing accurate, timely support in a fast-paced environment.

You will review paid and adjusted claims, verify member eligibility, and document findings across client systems while collaborating with remote colleagues. Strong analytical and communication skills are essential.

Qualifications

• Analytical mindset and problem-solving abilities.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office tools (Word, Excel, Outlook).

Responsabilités

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

Connaissances

Analytical skills

Verbal and written communication

Microsoft Office

Data entry / medical claims data entry

Remote work collaboration

Formation

High school diploma or GED

Outils

Microsoft Office

Description du poste

Conduent is seeking a Medical Benefits Review Associate to join our fully remote team. This role focuses on analyzing Medicare, Medicaid, and Commercial claim overpayments and providing accurate, timely support in a fast-paced environment.

You will review paid and adjusted claims, verify member eligibility, and document findings across client systems while collaborating with remote colleagues. Strong analytical and communication skills are essential.