Medical Benefit Review Services Associate III

Conduent • United States, United States • 2w ago

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.

Remote position

M-F 8:00 am - 4:30pm CST

FT + $15-17/hr.

The Medical Benefit Review Services Associate III is responsible for retrieving, analyzing, and determining medical claims from health insurance claim systems related to third-party liability accidents. This position requires strong analytical skills, the ability to work independently, and a keen attention to detail.

Responsibilities:

Retrieve and analyze health insurance eligibility policy information from various claim systems.

Determine medical claims related to third-party liability accidents.

Apply knowledge of medical terminology and medical coding to analyze and retrieve claims relevant to recovery rights.

Produce quality and timely reports for management.

Enter data accurately and efficiently

Maintain organization to manage referrals based on priority (Same Day, Urgent, Non-Urgent).

Work within client systems (e.g., Cigna) to access and process patient information/claims.

Skills and Qualifications:

Proficient with Microsoft Office Suite.

Knowledge of medical coding and terminology

Ability to work independently and stay self-motivated.

Strong technical aptitude and ability to learn new systems quickly.

Critical thinker with excellent problem-solving skills.

Highly organized and detail oriented.

Production-driven and goal-oriented mindset.

Ability to multi-task effectively.

If you meet the above qualifications and are interested in joining our team, please apply with your updated resume.

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 pay range for this role is $15/hr.

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 submitting their request through this form that must be downloaded: click here to access or download the form (https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf) . Complete the form and then email it as an attachment to FTADAAA@conduent.com . You may also click here to access Conduent's ADAAA Accommodation Policy (http://downloads.conduent.com/content/usa/en/document/cdt\adaaa\accommodation_pol.pdf) .

At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

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