About Conduent:

Job Description:

Bill Review Services Associate IV

Conduent Business Services – REMOTE

Schedule Monday- Friday 8 hours shift- Flexible schedule.

Pay Rate starts at 22.00 Full-Time! Benefits!

Job Summary:

We are seeking a highly skilled and detail-oriented individual to join our team as a Bill Review Associate IV. As a Bill Review Associate IV, you will be responsible for reviewing and analyzing complex bills and invoices to ensure accuracy and compliance with company policies and industry regulations. You will work closely with internal teams and external vendors to resolve any discrepancies and ensure timely payment processing. The ideal candidate will have a strong background in bill review and possess excellent analytical and problem-solving skills.

• 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.

• Has advanced, specialized expertise within a range of analytical or operational processes.
• Completes assignments and facilitates the work of others.
• May coordinate assignments beyond work area.
• Proposes improvements to processes and methods.
• Acts as a lead, coordinating the work of others, but is not a supervisor.
• Works autonomously within established procedures.

• Has developed skills in a range of processes, procedures, and systems.
• Acts as a technical expert in some areas.

• Understanding of how best teams integrate and work together to support the achievement of company goals.

• Impacts a team, by example, through the quality service and information provided.
• Suggests improvements to work procedures and practices to improve efficiency.

• Serves as a team lead.
• May allocate work to team members.
• Provides subject matter guidance to junior team members.

• Provides solutions to atypical problems with little or no precedent.

• Exchanges information and ideas effectively.
• Uses tact and diplomacy when dealing with others.

• Applies expertise in technical areas when reviewing medical bills such as

• Establishes appropriate final reimbursement outcomes by distinguishing between Fee Schedule reduction, PPO reduction, Usual and Customary reduction, or Medicare reduction.
• Communicates and upholds the basis for the methodology used to accomplish the reduction of charges.
• Analyzes and reviews high-level office visits, reports, and record reviews.
• Interprets hospital review guidelines for both inpatient and outpatient claims.
• Conducts test studies for the compliance team, requiring high-quality results and strict deadlines.
• Guides team in training and individual support for new hires.
• Performs other duties as assigned.
• Complies with all policies and standards.

Closing: