Medical Benefit Review Services Associate

Medical Benefits Review Associate Pay: Starting at $18.00/hour (based on experience), which may be below your state's minimum wage. Schedule: Monday-Friday | 8:00 AM -4:30 PM EST Fully Remote Are you experienced in various types of medical benefits and services? We're looking for a detail-oriented healthcare professional who enjoys solving complex insurance billing and coverage issues and working in a fast-paced remote environment. Medical Benefit Review Services Associate II is responsible for providing analytical support to CPIS overpayment programs via access to the client claims systems related to Medicare, Medicaid and Commercial claim overpayments identified through various audits. If you have strong analytical skills, enjoy researching insurance eligibility and medical claims and take pride in delivering accurate, high-quality work, we'd love to hear from you. Review of paid claims, adjusted claims, and offset claims in the client system. Documents findings from the client system in the related systems. Must have a high school diploma or GED Experience with data entry / medical claims data entry processing Proficiency with Microsoft Office (Word, Excel, and Outlook) Understanding of medical terminology and healthcare eligibility processes Ability to work independently while collaborating effectively with a remote team Fully remote position Flexible Monday-Friday schedule If you're an experienced healthcare professional with a background in various form of medical benefits, insurance verification, medical billing, or healthcare claims, we'd love to hear from you. Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. Must have the ability to connect with an ethernet cable to a modem/router Live in one of the following states, AL, AR, AZ, CO CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ,NM, NC, OH, OK, PA, RI, SC, SD, TN, TX,UT, VT, VA, WA, WV, WI, WY We are currently NOT hiring in the following geographies, included but not limited to: For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. #J-18808-Ljbffr