Remote Medical Benefits Review Specialist

Conduent; Pennsylvania; Remote; USD 34,000 - 43,000; Full time

Benefits offered by this job

Fully remote

Flexible schedule

Benefits day 1

Job summary

Conduent is seeking a Medical Benefits Review Associate to join their fully remote team. The role focuses on analyzing insurance claims, eligibility, and overpayments across Medicare, Medicaid, and commercial lines, delivering accurate results from home.

Monday–Friday, 8:00 AM–4:30 PM EST, with starting pay described and benefits from day one. The ideal candidate has strong data-entry and investigative skills, familiarity with healthcare eligibility, and the ability to work independently within

Qualifications

• High school diploma or GED required.
• Background in benefit/coverage concepts desired.
• Proficiency with Microsoft Office (Word, Excel, Outlook).
• Experience with data entry / medical claims data entry processing.
• Strong verbal and written communication skills.
• Basic knowledge of insurance procedures, Medicare, and Medicaid.

Responsibilities

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

Skills

Analytical skills

Data entry

Medical claims processing

Verbal & written communication

Eligibility checks

Medicare/Medicaid knowledge

Detail orientation

Investigative research

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Conduent is seeking a Medical Benefits Review Associate to join their fully remote team. The role focuses on analyzing insurance claims, eligibility, and overpayments across Medicare, Medicaid, and commercial lines, delivering accurate results from home.

Monday–Friday, 8:00 AM–4:30 PM EST, with starting pay described and benefits from day one. The ideal candidate has strong data-entry and investigative skills, familiarity with healthcare eligibility, and the ability to work independently within