Conduent Analyst I, Credit and Collections in Chicago, Illinois

Analyst I, Credit and Collections

Description

Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.

We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.

Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com .

We are currently seeking a Recovery Analyst to support the Chicago, Illinois area. This is an excellent opportunity for qualified individuals to make an immediate impact and earn opportunities for rapid advancement in a dynamic, growing, nationwide firm.

Purpose

  • Responsible for collecting overdue payments and establishing re-payment arrangements.

  • Negotiates liability settlement of medical claims with third parties or healthcare providers; seeks reimbursement from healthcare providers and/or ensures payment of claims by appropriate insurance carrier.

General

  • Builds knowledge of the organization, processes and customers

  • Requires knowledge and experience in own discipline; still acquiring higher level knowledge and skills

  • Receives a moderate level of guidance and direction

  • Moderate decision making authority guided by policies, procedures, and business operations protocol

Primary Responsibilities

May perform one or more of the following duties:

  • Settles the health plan’s subrogation (i.e. third party liability claim) and reimbursement interest; negotiates with the service provider, insurance attorney, insured, etc. in pursuit of recovering payments for services that should have been paid by another party

  • Applies legal principles and practices of subrogation to maximize recoveries

  • Analyzes and reviews paid medical claims to ensure the recovery amount is consistent with settled agreement

  • Applies coordination of benefits (COB) practices to minimize overpayment by client

  • Perform onsite auditing of healthcare providers’ accounting records to identify and recover overpayments made by client

  • Reviews and interprets employee benefit plan language or insurance contracts to ensure the plan rights are adhered to

  • Ensures compliance with federal, state and local legislation regarding reporting and privacy issues

  • All other duties as assigned

Benefits Include

  • Industry competitive salary

  • Significant bonus earning potential

  • Comprehensive health insurance plans

  • Life Insurance and short-term and long-term disability insurances

  • Paid-time-off plan.

  • In-house Learning and Development

  • Company negotiated discount program

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 at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf .

Job Credit & Collections

Primary Location United States-Illinois-Chicago

Organization Financial Service Healthcare

Unposting Date Ongoing

Req ID: 18030782