Conduent Claims Processing in Lexington, Kentucky
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 .
Job description: Responsible for processing healthcare claims. Trained on specific queues, pends and claim types in order to manually process a claim to completion.
Hours: Monday - Friday 8:00 am - 5:00 pm After training and can work independently hours will move to a flexible schedule.
Requirements: Must be at least 18 years old with a high school diploma or GED. Must have be able to type at least 30 words per minute. Must be able to submit to a background and drug screen.
Responsible for providing support to business operations such as front end, image & data capture, and / or document / transaction content management. Provides administrative support to business operations by performing processing tasks such as data entry and scanning, or similar activities.
Provides support to business operations such as front end, image & data capture, payment services, and/or document/transaction content management.
Provides administrative support to business operations by performing processing tasks such as data entry, scanning, mail sorting or similar activities.
- The work undertaken by the role holder is completed in line with the Service Level Agreement and Statement of Work relevant for the customer.
Entry Level with little or no prior work experience
Acquires basic skills to perform routine tasks
Work is routine and requires minimal problem resolution
Completes work with limited autonomy
Works with either close supervision or under clearly defined procedures
May perform processing tasks in one or more of the following areas:
Electronic fund transfer
Content storage and retrieval
All other duties as assigned.
Performs data entry of material from source documents to a computer database.
Transcribes routine pre-coded and identifiable alphanumeric data from source document and/or phone call into an automated system.
Ensures accuracy and completeness data.
Performs clerical tasks in the data entry function.
Receives and distributes incoming mail and materials.
All other duties as assigned.
Alternate text:- for medical/healthcare
Performs document scanning and processing in mail room
Enter Medical claims data into the Claims System, via 10-key and alphanumeric data entry
Screen medical claim forms for completeness of data
Route claims to other areas depending on successful data entry or the need for additional information
Adjudicate and suspend claims when appropriate
Provide backup support to other team/group members in the performance of job duties as assigned (including mail Room)
Numeric Filing and other clerical tasks
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 Service Delivery Transaction Processing
Primary Location United States-Kentucky-Lexington
Organization Financial Service Healthcare
Unposting Date Ongoing
Req ID: 18009513