Conduent
Conduent
Conduent is an enterprise-focused B2B SaaS company founded in 2017. With a workforce of more than 10,000 employees, the company operates in the enterprise technology sector and provides a setting for professionals exploring careers in large-scale software and business operations.

Medical Benefit Review Associate – Conduent Remote

Review Medicare, Medicaid, and commercial claims for Conduent’s overpayment programs. Verify eligibility, investigate discrepancies, and document findings in this remote associate role.

Description

  • Support CPIS overpayment programs by working in client claims systems
  • Review paid, adjusted, and offset claims in the client system
  • Review and update member eligibility records
  • Investigate questionable cases and communicate findings
  • Record client-system findings in the appropriate related systems
  • Communicate clearly with colleagues and team members
  • Work independently according to established procedures
  • Research insurance eligibility and medical claims
  • Identify and process Medicare, Medicaid, and commercial claim overpayments

Requirements

  • Be at least 18 years old
  • Have a high school diploma or GED
  • Successfully complete pre-employment criminal background and drug screening
  • Have basic knowledge of insurance procedures, insurance carriers, Medicare, and Medicaid
  • Have experience with data entry or medical claims data entry processing
  • Demonstrate professional verbal and written communication skills
  • Be proficient in Microsoft Word, Excel, and Outlook
  • Understand medical terminology and healthcare eligibility processes
  • Demonstrate strong investigative, research, and critical-thinking skills
  • Have excellent verbal and written communication skills
  • Demonstrate strong organization and multitasking abilities
  • Work independently while collaborating effectively with a remote team
  • Pass an internet speed test with download speed of at least 25 Mbps, upload speed of at least 5 Mbps, and ping of no more than 175 ms
  • Be able to connect to a modem or router using an Ethernet cable
  • Live in one of the listed eligible states
  • Have a background in benefit or coverage concepts, preferred

Benefits

  • Fully remote work
  • Flexible Monday–Friday schedule
  • No weekend work
  • Competitive starting pay
  • Collaborative team environment
  • Benefits eligibility beginning on the first day
  • Health insurance coverage
  • Voluntary dental and vision plans
  • Life and disability insurance
  • Retirement savings plan
  • Paid holidays
  • Paid time off, vacation time, and/or sick time
  • Possible eligibility for a bonus or incentive

Related Jobs

Walmart

Principal Software Engineer, Cloud and Distributed Systems

Walmart

Lead Walmart’s cloud-native, AI-enabled mGPS/Compass platform, shaping distributed services and indoor routing. Improve in-store operations through resilient architecture and technical leadership.

Open
Cartonplast Group

Senior ERP Software Development Team Lead – Cartonplast, Hybrid Germany

Cartonplast Group

Lead Cartonplast’s ERP development team and shape commercial, logistics, and production workflows. The role combines team leadership, business coordination, and hands-on technical input in a hybrid setup in Germany.

Open