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Bill Review Services Associate Ii

4 months ago

Lakeland, United States Conduent Care Solutions, LLC Full time

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.

Bill Review Services Associate II

M-F 7am - 3:30pm EST \ Great benefits from day one

$14.96 per hr.

**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**
- Expands skills within an analytical or operational process.
- Maintains appropriate licenses, training, and certifications.
- Applies experience and skills to complete assigned work.
- Works within established procedures and practices.
- Works with a moderate degree of supervision.

**Functional Knowledge**
- Has developed skillset in a range of processes, procedures, and systems.

**Business Expertise**
- Understanding of how teams integrate and work best together to support the achievement of company goals.

**Impact**
- Impacts a team, by example, through the quality service and information provided
- Follows standardized procedures and receives moderate supervision and guidance.

**Leadership**
- Has no supervisory responsibilities.
- Manages own workload.

**Problem Solving**
- Uses existing procedures to solve standard problems without supervisory approval.

**Interpersonal Skills**
- Exchanges information and ideas effectively.

**Responsibility Statements**
- Audits payment determination, reconsiderations, and re-reviews on Medical Bill Data.
- Assists in assigning procedure codes regarding complex issues and comprehensive exam codes.
- Examines and adjusts lower-level technical bills, including high-level office visits, reports, and record reviews.
- Analyzes medical reports, test results, and treatment plan to determine proper payment or reimbursement.
- Maintains reference library of company and industry reimbursement policies
- Conducts test studies for the compliance team, requiring high-quality results and strict deadlines.
- Performs other duties as assigned.
- Complies with all policies and standards.
- 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.$28,120 minimum -$35,150 midpoint.

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.
- 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._