Conduent Analyst I, Credit and Collections in Chicago, Illinois
Analyst I, Credit and Collections
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.
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.
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
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
Industry competitive salary
Significant bonus earning potential
Comprehensive health insurance plans
Life Insurance and short-term and long-term disability insurances
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