Conduent Associate I, Service Delivery Healthcare in Lakeland, Florida

Associate I, Service Delivery Healthcare

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 .

This position is for a PPO Analyst.

The successful candidate should be highly organized and detail oriented.

  • Basic computer skills and familiarity with Excel.

  • Written and oral communication skill.

  • The job requires contacting medical providers by phone to confirm demographic and practice information.

  • Some familiarity with healthcare and Workers’ Compensation would be helpful though not required.

  • Will need to be responsive to frequent urgent client requests.

Essential Duties:

  • Manage Panel Card process

  • Coordinate Health Pass (HP) set up and delivery

  • Research and resolve PPO related bill issues

  • Work with PPOs to resolve complaints and grievances

  • Track PPO bill TAT

  • Update MCO database for state reporting

  • Support PPO analytic projects

If this describes you, the timing is right, AND you HAVE the required skills & experience, please apply/send resume to DeVonda Manning at DeVonda.Manning@conduent.com .

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 Healthcare

Primary Location United States-Florida-Lakeland

Organization Financial Service Healthcare

Unposting Date Dec 21, 2018, 11:59:00 PM

Req ID: 18031935