Job Description
About 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
Bill Review Services Associate – Remote
$17-$19/hr
Training Monday-Friday 7am-3:30pm
Shifts start time 5am-10am (8hr shift) Monday-Friday
About Role:
- Process medical bills assigned to work load
- Review bills based on state guidelines
- Meet quota based on performance
- Performs tasks based on established procedures.
- Completes work with limited supervision.
- Analyzing and reviewing material to file accordingly
- Proficiency within a range of analytical or operational processes.
- Uses data organizing and coordination skills to perform business support or technical work.
Requirements
- High school diploma or GED
- Typing and microsoft efficent
- Workers Comp experience
- Self-motivated
- Experience with meeting quotas
- Health care billing terminology
- Has experience working remotley
- Has developed skills in a range of processes, procedures, and systems.
Responsibility Statements
- Reviews specialized Medical Bills including hospital, surgery, and high-level physician bills.
- Establishes the appropriateness of a final reimbursement outcome by making the distinction between and knowing when to apply either Fee Schedule reduction, PPO reduction, Usual and Customary reduction, or Medicare reduction.
- Communicates and upholds the basis for the methodology used to accomplish the reduction of charges.
- Analyzes and reviews high-level office visits, reports, and record reviews.
- Interprets hospital review guidelines for both inpatient and outpatient claims.
- Conducts test studies for the compliance team, requiring high-quality results and strict deadlines.
- Complies with all policies and standards.
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 account.