Medicaid Claims Support - Third Party Liability Representative (ONSITE)

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.

Hours: Monday - Friday 8am - 5pm

Location: onsite

Hourly rate: $16

Third Party Liability Representatives – Medicaid Claims Support

Summary:

• Research, process and apply payments received from the primary Insurance, providers, and complete payment adjustments.
• Process and apply Explanation of Benefits (EOB) denial reasons from carriers.
• Outreach calls to the primary insurance to research and resolve claims denial issues.
• Work monthly carrier billing claim reports and process outgoing mail.
• Overall acts as an advocate for Medicaid to ensure claims are billed correctly.

Additional Duties as Assigned:

• Verify documentation and images.
• Attend scheduled staff meetings.
• Complete required assigned training.
• Track daily task for quality review.

Requested Skills:

• Positive and energetic attitude.
• Ability to communicate clearly and confidently.
• Ability to multi-task and manage time effectively.
• Attention to detail, grammar, and spelling accuracy.

Preferred Experience:

• One year of medical insurance or medical office experience.
• Computer system experience with data entry and database documentation knowledge.
• Call center or professional office experience.

Hours and Additional Information:

• Limited physical requirements: Typical office environment. Phone and keyboard for periods of time.
• Must be at least 18 years of age with a high school diploma or GED.
• Must pass a criminal background check and drug screening.

This is a great opportunity to learn and be a part of the growing medical support community. Conduent offers benefits and advancement opportunities. Come join us and help support our Medicaid providers!

At Conduent, we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccinations for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

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. You may also click here to access Conduent’s ADAAA Accommodation Policy.

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.