Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments â€“ 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 Track Description:
Performs tasks based on established procedures.
Uses data organizing and coordination skills to perform business support or technical work.
Requires vocational training, certifications, licensures, or equivalent experience.
Expands skills within an analytical or operational process.
Maintains appropriate licenses, training, and certifications.
Applies experience and skills to complete assigned work.
Works within established procedures and practices.
Works with a moderate degree of supervision.
Has developed skillset in a range of processes, procedures, and systems.
Understanding of how teams integrate and work best together to support the achievement of company goals.
Impacts a team, by example, through the quality service and information provided
Follows standardized procedures and receives moderate supervision and guidance.
Has no supervisory responsibilities.
Manages own workload.
Uses existing procedures to solve standard problems without supervisory approval.
Exchanges information and ideas effectively.
Audits payment determination, reconsiderations, and re-reviews on Medical Bill Data.
Assists in assigning procedure codes regarding complex issues and comprehensive exam codes.
Examines and adjusts lower-level technical bills, including high-level office visits, reports, and record reviews.
Analyzes medical reports, test results, and treatment plan to determine proper payment or reimbursement.
Maintains reference library of company and industry reimbursement policies
Conducts test studies for the compliance team, requiring high-quality results and strict deadlines.
Performs other duties as assigned.
Complies with all policies and standards.