Remote Medical Benefits Review Specialist

Conduent; Heber (UT); Remote; USD 34,000 - 43,000; Full time

Benefits offered by this job

Fully remote

Flexible schedule

No weekends

Job summary

Conduent is hiring a Medical Benefits Review Associate for a fully remote role with a Monday-Friday schedule. The position focuses on analyzing medical benefit reviews, insurance billing, and eligibility verification within Medicare, Medicaid, and Commercial claims.

The role emphasizes strong analytical skills, attention to detail, and the ability to work independently in a remote team. Benefits start on day one, with competitive pay and ongoing professional opportunities.

Qualifications

• High school diploma or GED required.
• Must pass pre-employment background check and drug screening.
• Experience with data entry and medical claims data entry processing encouraged.
• Proficiency in Microsoft Office applications (Word, Excel, Outlook).
• Strong verbal and written communication skills required.

Responsibilities

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

Skills

Data entry

Analytical thinking

Communication skills

Independent work

Remote work capability

Healthcare terminology

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Conduent is hiring a Medical Benefits Review Associate for a fully remote role with a Monday-Friday schedule. The position focuses on analyzing medical benefit reviews, insurance billing, and eligibility verification within Medicare, Medicaid, and Commercial claims.

The role emphasizes strong analytical skills, attention to detail, and the ability to work independently in a remote team. Benefits start on day one, with competitive pay and ongoing professional opportunities.