Conduent
Conduent is a technology-led solutions provider that streamlines business operations for both public sector and private businesses. They specialize in enhancing customer experiences through automation and analytics, optimizing finance operations, and offering comprehensive HR solutions. With a focus on improving operational efficiencies, Conduent delivers a variety of services including customer contact solutions, healthcare business solutions, and solutions for transportation agencies, effectively addressing the end-to-end needs of their clients.
Business Process Solutions • Healthcare • Payments and Eligibility • Transportation • Customer Experience Management
Medical Review Auditor Analyst
April 16
Conduent
Conduent is a technology-led solutions provider that streamlines business operations for both public sector and private businesses. They specialize in enhancing customer experiences through automation and analytics, optimizing finance operations, and offering comprehensive HR solutions. With a focus on improving operational efficiencies, Conduent delivers a variety of services including customer contact solutions, healthcare business solutions, and solutions for transportation agencies, effectively addressing the end-to-end needs of their clients.
Business Process Solutions • Healthcare • Payments and Eligibility • Transportation • Customer Experience Management
📋 Description
• Auditing medical bills for unrelated charges, overpayments/reimbursements, and overall accuracy. • Assessing payments against regulatory or administrative charges, coding, and billing errors to identify inaccuracies in billing or reimbursement. • Conducting medical audits using methodologies to identify healthcare overpayments and underpayments to providers. • Applying knowledge of provider billing and patient accounting systems to ensure accurate research for potential overpayments. • Developing, maintaining, and ensuring adherence to client policies, regulations, and guidelines. • Performing other tasks as directed by management.
🎯 Requirements
• Bachelor’s degree in Healthcare Administration, Business Management, or related fields is highly desired, but not required. Ten (10) years of hospital billing experience may substitute for a degree. • Must have hospital business office experience. • Strong mathematical skills to perform audits accurately. • Excellent customer service skills with the ability to collaborate with teams across the USA to ensure success and customer satisfaction. • Proficiency in Microsoft Office and industry-specific software. • Experience in an auditing role, healthcare industry, or insurance is highly desired but not required. • Experience in industries such as Accounting, Finance, or Healthcare Administration is a plus. • Ability to thrive in a fast-paced environment. • Must be self-sufficient and able to work independently without constant supervision. • Comfortable working remotely and occasionally onsite at client locations or hospitals. • Strong communication skills (interpersonal, written, and verbal). • Must be dependable and willing to travel as required. • Must have a valid driver’s license.
🏖️ Benefits
• Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit your needs and start on the first day of employment. • Retirement Savings: We support you as you invest in your future. • Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more. • Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint. • Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career. • Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.
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