Conduent Medical Review Auditor Analyst (Hybrid: MA/NH/RI territory and remote) in Boston, Massachusetts
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.
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 or overpayments.
Auditing medical bills for unrelated charges. "Driving" to hospital Central Billing Offices (CBO’s) in the territory of MA and southern NH to do auditing work. Will also be “working-from-home” (about 75%). So, will need to live in the State of Massachusetts or southern New Hampshire or Rhode Island area.
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
Have valid driver's license and live in/near the MA/NH/RI territory to travel to audit sites.
Have formal education ...OR... relevant expertise in medical billing, patient accounting, auditing, or finance. (Entry level college graduates are also encouraged to apply!)
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.
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:
- Hybrid work: Work in a way that allows you to work from home during portions of your week and also have time onsite to connect with other team members and business leaders.
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 we’ve received for our diversity efforts.
At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates. We strive to create a culture where you can:
Bring your authentic self to work
Grow and thrive, both personally and professionally
Make a difference with our clients, in our communities, and with the millions of people we support
When you join Conduent, you are engaged in creating the future - both our company’s and your own. With more than 60,000 associates across 24 countries, we will provide you the opportunity to grow with a team of people who will challenge and inspire you to be the best!
Please also fill-out the Job Questionnaire on the Conduent career website.
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 accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form (https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf) . You may also click here to access Conduent’s ADAAA Accommodation Policy (http://downloads.conduent.com/content/usa/en/document/cdt_adaaa_accommodation_pol.pdf) .
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $55,000 - $60,000.
At Conduent, we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible.
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