Conduent Recovery Analyst in Irving, Texas

Recovery Analyst

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 its 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 .

CDR Associates, a subsidiary of Conduent, credit balance processing services is designed to maximize overpayment recoveries for our healthcare clients while at the same time providing a valuable service to providers: hospitals, health systems, and physician groups. CDR analysts handles all aspects of the credit balance recovery process from identification and claim analysis to provider approval and processing of the refund to our payer client. The end result is increased recoveries for our client and reduced staffing costs for the provider. CDR is committed to working with providers to establish credit balance goals and objectives and assisting in measuring ongoing progress to meet those goals.

We are currently seeking a Recovery Analyst to support the Irving, Texas 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 Scope

  • 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:

  • Analyze healthcare claims data for audit purposes.

  • Understand context and apply logic based on basic claims processing rules.

  • Work with other analysts and developers to define audit rules.

  • Identify and verify potential claims overpayment opportunities.

  • Provides professional and analytical support to audit team and clients.

  • Ensures company compliance with federal and state laws.

  • All other duties as assigned.

Skills

  • Bachelor’s degree in a related preferred.

  • Healthcare related insurance billing and/or claims experience is a plus but is not required.

  • Strong set of interpersonal skills and the ability to effectively communicate in a clear and concise manner.

  • Self-motivated and independent: affective team members are results-driven and focused on delivering quality results.

  • Experience with working in teams a must but more important a candidate should possess the skills necessary to deliver an exceptional customer service experience.

  • Willingness to travel, up to 25%, within designated region. Occasional overnight travel may be required.

Benefits Include

  • Industry competitive salary.

  • 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-TX-Irving

Organization Financial Service Healthcare

Unposting Date Ongoing

Req ID: 18029450