Remote Medical Benefits Review Specialist

Conduent; Guin (AL); Remote; USD 34,000 - 43,000; Full time

Benefits offered by this job

Fully remote position

Benefits starting day 1

Flexible weekday schedule

No weekends

Competitive starting pay

Collaborative team environment

Job summary

Conduent is seeking a Medical Benefits Review Associate for a fully remote, Monday–Friday role with an 8:00 AM to 4:30 PM EST schedule. You will analyze medical benefit and claims data across Medicare, Medicaid, and commercial programs, supporting overpayment programs and eligibility verification.

The position emphasizes accuracy, speed, and collaboration within a remote team. Experience with claims data entry and MS Office is preferred, and the company notes competitive pay and benefits

Qualifications

• Must be 18 or older to apply.
• Must have a high school diploma or GED.
• Must be able to pass a preemployment background check and drug screening.
• Background in benefit/coverage concepts desirable.
• 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 paid, adjusted, and offset claims in the client system.
• Review member eligibility and update 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

Data entry

Microsoft Office

Analytical skills

Communication skills

Healthcare eligibility

Education

High school diploma or GED

Job description

Conduent is seeking a Medical Benefits Review Associate for a fully remote, Monday–Friday role with an 8:00 AM to 4:30 PM EST schedule. You will analyze medical benefit and claims data across Medicare, Medicaid, and commercial programs, supporting overpayment programs and eligibility verification.

The position emphasizes accuracy, speed, and collaboration within a remote team. Experience with claims data entry and MS Office is preferred, and the company notes competitive pay and benefits