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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:
Renote Medical Benefit Review Services Associate II
Pay $17-22hr based on experience
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.
Responsibilities include (but are not limited to):
- Review of paid claims, adjusted claims, and offset claims in the client system.
- Review of member eligibility, update of member eligibility.
- Investigates and communicates questionable situations.
- Documents findings from the client system in the related systems.
- Communicates effectively with other staff/team members.
- Works independently based on established procedures.
Experience:
- 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.
- Professional verbal and written communication skills required.
- Knowledge of Microsoft Office systems, including strong working knowledge of excel and ability to work excel spreadsheets.
Education: High School Diploma, GED, or equivalent combination of education and experience.
Pay Transparency Laws in some locations require disclosure of compensation-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 or sick time. The estimated salary range for this role is $17-$22 per hour based on experience.
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.
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.
