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
*Conduent is hiring REMOTE Healthcare- Call Center Quality Assurance Associates*
We need a select few upbeat, articulate, computer/tech savvy, and reliable Quality Assurance Associates to join our Team. This is a Call Center position. You will conduct audits for incoming and outbound calls. Includes but not limited to:
- Provider Calls
- Member Calls
- Grievance & Appeals
- Third Party / POA Calls
- Provider Disputes
- Authorizations
- Claims
- Training: Will mirror work schedule
- Work Hours – Flexible
- Pay: $19/hourly – $20/hourly
- Full Time – regular position [40 hours – overtime when needed by client]
- Equipment provided
- This a Remote / WFH position
Experience:
- Medicaid / Medicare Call Center Experience
Hard Skills:
- Microsoft Office 365
- Excel (Proficient)
- Microsoft Teams
- SharePoint
- Adobe Acrobat
Soft Skills:
- Quick Study
- Positive
- Excellent Communication and Documentation
- Attention to detail
- Organized
Requirements:
- Must be at least 18 years of age with at least a high school diploma or GED.
- Must pass a criminal background check.
- Must have WIRED internet connection, WIFI is not permitted.
Plus:
- Bilingual [Spanish / English]
Job Track Description:
- Performs business support or technical work, using data organizing and coordination skills.
- Performs tasks based on established procedures.
- In some areas, requires vocational training, certifications, licensures, or equivalent experience.
General Profile
- 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.
- Establishes the appropriate approach for new assignments.
- Works with a limited degree of supervision.
Functional Knowledge
- Has developed skillset in a range of processes, procedures, and systems.
Business Expertise
- Helps teams to integrate and work together to support the achievement of company goals.
Impact
- Impacts a team, by example, through the quality service and information provided.
- Uses discretion to modify work practices and processes to achieve results or improve efficiency.
Leadership
- May provide informal guidance to junior team members.
Problem Solving
- Ability to problem solve, self-guided.
- Evaluates issues and solutions to provide the best outcome for clients and end-users.
Interpersonal Skills
- Clearly and effectively exchanges information and ideas.
Responsibility Statements
- Creates a quality checklist to determine potential defects.
- Reviews transactions and selects samples for auditing.
- Performs risk assessments related to performance monitoring and financial operations.
- Understands the connectivity of up-stream and down-stream processes with respect to the process they are auditing.
- Validates audit findings with operations personnel to concur with root cause analysis (RCA).
- Performs other duties as assigned.
- Complies with all policies and standards.