Benefits Coordinator

Conduent

. Investigate and determine the correct benefits for members with multiple health insurance plans .

Posted 10/2/2026full-timeRemote • United StatesJuniorMid-Level💰 $39,960 - $46,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Coordination of Benefits (COB) processes, Medicare (CMS) regulations, and insurance verification, while maintaining HIPAA compliance. Strong communication and investigative skills are essential for effectively managing complex healthcare eligibility issues and collaborating in a remote environment.

Highest-signal resume keywords

Coordination Of Benefits (COB)Medicare (CMS) RegulationsInsurance VerificationHealthcare Claims ProcessingMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare ExperienceInsurance Documentation ReviewMedical TerminologyClaims AuditingHealthcare Data Analysis

Soft Skills

Investigative SkillsCritical ThinkingVerbal CommunicationWritten CommunicationCustomer Service Skills

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAA ComplianceEligibility VerificationEOB ReviewHealthcare ProvidersInsurance Carriers

About the role

Key responsibilities & impact

Investigate and determine the correct benefits for members with multiple health insurance plans
Review insurance eligibility, policy coverage, and documentation to verify the proper payer order
Contact insurance carriers, Medicare (CMS), employer groups, healthcare providers, and members by phone, email, fax, and mail to validate coverage information
Research complex healthcare eligibility issues and apply Medicare CMS and NAIC guidelines to determine primary and secondary coverage
Document findings accurately in company systems while maintaining complete and detailed records
Review Explanation of Benefits (EOBs) and other insurance documentation to support payment determinations
Process incoming COB correspondence and update eligibility records as needed
Handle inbound and outbound calls related to Coordination of Benefits inquiries
Meet established productivity, quality, and turnaround time goals
Maintain HIPAA compliance and adhere to federal, state, and client requirements
Collaborate with teammates while working independently in a remote environment
Identify opportunities to improve processes, documentation, and communication

Requirements

What you’ll need

Must have a high school diploma or GED
Must be able to successfully pass a pre-employment criminal background check and drug screening
Minimum of 2 years of healthcare experience involving Coordination of Benefits (COB) in a provider, payer, or healthcare vendor environment OR 4+ years of experience in insurance verification, medical billing, healthcare claims processing, claims auditing, medical reimbursement, or healthcare data analysis
Working knowledge of Coordination of Benefits (COB) guidelines
Knowledge of Medicare (CMS) regulations and NAIC Coordination of Benefits guidelines
Understanding of medical terminology and healthcare eligibility processes
Strong investigative, research, and critical thinking skills
Excellent verbal and written communication skills
Ability to explain complex insurance information clearly and professionally
Strong customer service skills with the ability to communicate confidently with insurance carriers, providers, employer groups, and members
Proficiency with Microsoft Office (Word, Excel, and Outlook)
Ability to work independently while collaborating effectively with a remote team
Must pass an internet speed test: download ≥25 Mbps, upload ≥5 Mbps, ping ≤175 ms
Must be able to connect with an ethernet cable to a modem/router
Must reside in an eligible listed U.S. state