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Conduent
Conduent
B2BÎntreprindereSaaS
Conduent este o companie B2B SaaS orientată către organizații, fondată în 2017. Cu peste 10.000 de angajați, compania activează în sectorul tehnologiei pentru întreprinderi și oferă un mediu pentru profesioniștii care explorează cariere în software la scară largă și operațiuni de afaceri.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiALAlabamaAZArizonaCOColoradoCTConnecticutFLFloridaIDIdahoIAIowaKSKansasKYKentuckyLALouisianaMEMaineMIMichiganMSMississippiMOMissouriNENebraskaNVNevadaNHNew HampshireNJNew JerseyNMNew MexicoNCCarolina de NordOHOhioOKOklahomaPAPennsylvaniaRIRhode IslandSCCarolina de SudSDDakota de SudTNTennesseeTXTexasUTUtahVTVermontVAVirginiaWAWashingtonWVVirginia de VestWIWisconsinWYWyoming
34.320 $ – 42.900 $ / an
RemoteNormă întreagăJuniorNivel mediuNu este necesară o diplomăLimbă Obligatorie: englezăAsociatGeneral

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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

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