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SalaryAbout Conduent:
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Job Description:
Do you like researching and analyzing details?
About the Role
As a Medical Credit Balance Analyst, you will review and audit provider Credit Balances for overpayments.
Responsibilities
- Analyzing Credit Balances for overpayments. Working remotely with Central Billing Offices (CBO’s) in the State of Florida area to do analysis.
- Assessing payments against regulatory or administrative charges, coding, and billing errors. Determining if accurate payment has occurred.
- Assisting in the development and implementation of new audit/review methodologies to identify overpayments and underpayments to providers. Detecting healthcare fraud, waste, and abuse.
- Preparing written case summaries and representing clients and Conduent as an expert witness.
- Applying knowledge of provider billing and accounting practices to the research of client policy and data. Revealing new overpayment recovery opportunities.
- Developing, maintaining, and ensuring adherence to multiple project schedules.
- Achieving percent of savings expectations through their review billing
- Ensuring productivity goals are met daily and communicating audit findings to clients.
- Participating in planning, daily meetings, and backlog sessions
Requirements
- Must live in the state of Florida and be able travel occasionally to visit Medical Central Billing Offices.
- Have experience with medical claims, healthcare administration, or hospital billing.
- Have ability to use deductive reasoning to solve problems and make recommendations.
- Have ability to complete work self-guided. (Receives moderate guidance and direction from others.)
- Have ability to develop an understanding of the Conduent's processes, and customers.
Closing:
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.
People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent’s ADAAA Accommodation Policy.
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. 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. The estimated salary range for this role is $55,000 - $60,000.
At Conduent, we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible.
