Medical Benefit Review Services Associate

Conduent

. Provide analytical support to CPIS overpayment programs via access to client claims systems .

Posted 10/2/2026full-timeRemote • United StatesJuniorMid-Level💰 $34,320 - $42,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in analyzing medical claims and insurance eligibility, with strong skills in data entry and documentation. Capable of effective communication and collaboration within a remote team environment while maintaining organizational and multitasking abilities.

Highest-signal resume keywords

Medical Claims Data Entry ProcessingInsurance Procedures KnowledgeMicrosoft Office ProficiencyInvestigative Research SkillsMedical Terminology Understanding

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryMedical Claims ProcessingInsurance Eligibility ResearchClaim Overpayment IdentificationDocumentation Skills

Soft Skills

Verbal Communication SkillsWritten Communication SkillsOrganizational AbilitiesMultitasking AbilitiesCritical Thinking Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft Outlook

Industry Keywords

MedicareMedicaidHealthcare EligibilityBenefit ConceptsClient Claims Systems

About the role

Key responsibilities & impact

Provide analytical support to CPIS overpayment programs via access to client claims systems
Review paid claims, adjusted claims, and offset claims in the client system
Review and update member eligibility
Investigate and communicate questionable situations
Document findings from the client system in related systems
Communicate effectively with other staff/team members
Work independently based on established procedures
Research insurance eligibility and medical claims
Identify and process Medicare, Medicaid, and Commercial claim overpayments

Requirements

What you’ll need

Must be 18 or older to apply
Must have a high school diploma or GED
Must be able to successfully pass a preemployment criminal background check and drug screening
Basic knowledge of insurance procedures, working with insurance carriers, Medicare, and Medicaid
Experience with data entry / medical claims data entry processing
Professional verbal and written communication skills required
Proficiency with Microsoft Office (Word, Excel, and Outlook)
Understanding of medical terminology and healthcare eligibility processes
Strong investigative, research, and critical thinking skills
Excellent verbal and written communication skills
Strong organizational and multitasking abilities
Ability to work independently while collaborating effectively with a remote team
Must pass an internet speed test (download equal to or greater than 25, upload equal to or greater than 5, Ping ms equal to or less than 175)
Must have the ability to connect with an ethernet cable to a modem/router
Must live in one of the listed eligible states
Background in benefit/coverage concepts desired

Benefits

Comp & perks

Fully remote position
Flexible Monday-Friday schedule
No weekends required
Competitive starting pay
Collaborative team environment
Eligible for benefits day 1
Health insurance coverage
Voluntary dental and vision programs
Life and disability insurance
Retirement savings plan
Paid holidays
Paid time off (PTO) or vacation and/or sick time
May be eligible for a bonus or incentive