Remote Medical Benefits Review Specialist

Conduent; South Dakota; A distancia; USD 34.000 - 43.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Fully remote position

Flexible schedule (Mon-Fri)

Benefits starting day 1

Equal Opportunity Employer

Descripción de la vacante

Conduent seeks a Medical Benefits Review Associate to support overpayment programs across Medicare, Medicaid and commercial claims in a fully remote environment. You will review claims, verify eligibility, and document findings while communicating with a remote team.

The role requires strong analytical skills and familiarity with insurance terminology. Ideal candidates have experience with data entry and Microsoft Office, and can work independently within established procedures.

Formación

• Must be 18 or older to apply.
• Must have a high school diploma or GED.
• Must pass preemployment background check and drug screening.
• Background in benefit/coverage concepts desired.
• Basic knowledge of insurance procedures, working with insurance carriers, Medicare, and Medicaid.
• Experience with data entry / medical claims data entry processing.
• Proficiency with Microsoft Office (Word, Excel, 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.

Responsabilidades

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

Conocimientos

Analytical thinking

Attention to detail

Communication skills

Remote collaboration

Data entry

Educación

High school diploma or GED

Herramientas

Microsoft Office

Descripción del empleo

Conduent seeks a Medical Benefits Review Associate to support overpayment programs across Medicare, Medicaid and commercial claims in a fully remote environment. You will review claims, verify eligibility, and document findings while communicating with a remote team.

The role requires strong analytical skills and familiarity with insurance terminology. Ideal candidates have experience with data entry and Microsoft Office, and can work independently within established procedures.