Overview

Medical Review Auditor Analyst II Jobs in United, PA at CONDUENT

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:

Enjoy weeding out Fraud, Waste, and Abuse?

Do you like researching and analyzing details?

About the Role

As a Medical Review Auditor Analyst ,you will review and audit medical bills for unrelated charges.

Responsibilities

Auditing medical bills for unrelated charges. Working remotely with  Central Billing Offices (CBO’s) in the State of Ohio area to do auditing work.

Assessing payments against regulatory or administrative charges, coding, and billing errors. Determining if fraud or inaccurate billing has occurred.

Assisting in the development and implementation of new audit/review methodologies to identify overpayments and underpayments to providers. Detecting healthcare fraud, waste, and abuse.

Preparing written case summaries and represents clients and Conduent as an expert witness

Applying knowledge of provider billing and patient accounting practices to the research of client policy and data. Revealing new overpayment recovery opportunities.

Developing, maintaining, and ensuring adherence to multiple project schedules.

Achieving percent of savings expectations through their review billing

Ensuring productivity goals are met daily and communicating audit findings to clients.

Participating in planning, daily meetings, and backlog sessions

Requirements

Have experience with medical claims, healthcare administration, or hospital billing.

Have ability to use deductive reasoning to solve problems and make recommendations.

Have ability to complete work self-guided. (Receives moderate guidance and direction from others.)

Have ability to develop an understanding of the Conduent’s processes, and customers.

Flexible Working

At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too. In this role, you can expect the following working conditions:

Remote work: Enjoy the convenience of working from home and maximize your time by unplugging at the end of your work day.

Working For You

Perks and rewards designed for you:

Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family’s needs and start on the first day of employment.

Retirement Savings: We will support you as you save for 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.

Paid Training: Earn while you learn, and continue to grow with access to award-winning learning platforms throughout your Conduent career.

Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.

Great Work Environment: We are proud of our award-winning culture and the recognition …

Title: Medical Review Auditor Analyst II

Company: CONDUENT

Location: United, PA

Category:

 

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