Medical Benefit Review Services Associate
Budget / Salary$18–18
TypeFull-time job
LocationUnited States
Posted3 hours ago
Medical Benefits Review Associate
Pay: Starting at $18.00/hour (based on experience), which may be below your state's minimum wage. Please take this into consideration when applying.
Schedule: Monday-Friday | 8:00 AM -4:30 PM EST
Location: Fully Remote
About this role:
Are you experienced in various types of medical benefits and services? We're looking for a detail-oriented healthcare professional who enjoys solving complex insurance billing and coverage issues and working in a fast-paced remote environment.
Medical Benefit Review Services Associate IIis 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.
If you have strong analytical skills, enjoy researching insurance eligibility and medical claims and take pride in delivering accurate, high-quality work, we'd love to hear from you.
Key Responsibilities:
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.
Communicate effectively with other staff/team members.
Works independently based on established procedures.
Required Qualifications:
Must be 18 or older to apply
Must have a high school diploma or GED
Must be able to successfully pass a preemployment criminal background check and drug screening
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
Proficiency with Microsoft Office (Word, Excel, and Outlook)
Understanding of medical terminology and healthcare eligibility processes
Strong investigative, research, and critical thinking skills
Excellent verbal and written communication skills
Strong organizational and multitasking abilities
Ability to work independently while collaborating effectively with a remote team
Why You'll Love This Opportunity
Fully remote position
Flexible Monday-Friday schedule
No weekends required
Competitive starting pay
Collaborative team environment
Eligible for benefits day 1
If you're an experienced healthcare professional with a background in various form of medical benefits, insurance verification, medical billing, or healthcare claims, we'd love to hear from you. Apply today!
Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.
Requirements:
Must pass an internet speed test (download equal to or greater than 25, upload equal to or greater than 5, Ping ms equal to or less than 175)
Must have the ability to connect with an ethernet cable to a modem/router
Live in one of the following states, AL, AR, AZ, CO CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ,NM, NC, OH, OK, PA, RI, SC, SD, TN, TX,UT, VT, VA, WA, WV, WI, WY
We are currently NOT hiring in the following geographies, included but not limited to:
States: AK, CA, CT, HI, MA, IL, MT & NY
Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC
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 $34,320-$42,900.
Originally posted on Himalayas
Pay: Starting at $18.00/hour (based on experience), which may be below your state's minimum wage. Please take this into consideration when applying.
Schedule: Monday-Friday | 8:00 AM -4:30 PM EST
Location: Fully Remote
About this role:
Are you experienced in various types of medical benefits and services? We're looking for a detail-oriented healthcare professional who enjoys solving complex insurance billing and coverage issues and working in a fast-paced remote environment.
Medical Benefit Review Services Associate IIis 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.
If you have strong analytical skills, enjoy researching insurance eligibility and medical claims and take pride in delivering accurate, high-quality work, we'd love to hear from you.
Key Responsibilities:
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.
Communicate effectively with other staff/team members.
Works independently based on established procedures.
Required Qualifications:
Must be 18 or older to apply
Must have a high school diploma or GED
Must be able to successfully pass a preemployment criminal background check and drug screening
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
Proficiency with Microsoft Office (Word, Excel, and Outlook)
Understanding of medical terminology and healthcare eligibility processes
Strong investigative, research, and critical thinking skills
Excellent verbal and written communication skills
Strong organizational and multitasking abilities
Ability to work independently while collaborating effectively with a remote team
Why You'll Love This Opportunity
Fully remote position
Flexible Monday-Friday schedule
No weekends required
Competitive starting pay
Collaborative team environment
Eligible for benefits day 1
If you're an experienced healthcare professional with a background in various form of medical benefits, insurance verification, medical billing, or healthcare claims, we'd love to hear from you. Apply today!
Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.
Requirements:
Must pass an internet speed test (download equal to or greater than 25, upload equal to or greater than 5, Ping ms equal to or less than 175)
Must have the ability to connect with an ethernet cable to a modem/router
Live in one of the following states, AL, AR, AZ, CO CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ,NM, NC, OH, OK, PA, RI, SC, SD, TN, TX,UT, VT, VA, WA, WV, WI, WY
We are currently NOT hiring in the following geographies, included but not limited to:
States: AK, CA, CT, HI, MA, IL, MT & NY
Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC
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 $34,320-$42,900.
Originally posted on Himalayas
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