Medical Review Auditing Services Associate III
Conduent
Cebu City, Central Visayas, PHL
4d ago

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 Track Description :

  • Performs tasks based on established procedures.
  • Uses data organizing and coordination skills to perform business support or technical work.
  • Requires vocational training, certifications, licensures, or equivalent experience.
  • General Profile

  • Proficiency within a range of analytical or operational processes.
  • Completes atypical assignments.
  • Works within established procedures and practices.
  • May establish the appropriate approach for new assignments.
  • Acts as a resource for colleagues.
  • Completes work with limited supervision.
  • Functional Knowledge

  • Has developed skills in a range of processes, procedures, and systems.
  • Business Expertise

  • Understanding of how best teams integrate and work together to achieve company goals.
  • Impact

  • Impacts a team, by example, through the quality service and information provided
  • Uses discretion to change work procedures and practices.
  • Leadership

  • May provide guidance and support to junior team members.
  • Problem Solving

  • Provides solutions to atypical problems based on existing precedents or procedures.
  • Interpersonal Skills

  • Exchanges information and ideas effectively.
  • Responsibility Statements

  • Reviews medical bills for unrelated charges, non-compensable charges, coding, and billing errors.
  • Travels, as required, to on-site hospital facilities.
  • Achieves percent of savings expectations through review billing
  • Ensures productivity goals are met daily,
  • Communicates audit findings to physician offices and hospitals.
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • 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. For US applicants while we DO NOT require vaccination 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.

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