Medical Review Auditing Services Associate IV

«out Conduent Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Job Description • Ensures early intervention and identification of injuries which will benefit from medical case management or to identify questionable claims during the retrospective bill review process. • Reviews complex Health Care Finance Administration bills to determine authorization, relation to injury, and appropriateness of service. • Reviews complex UB bills to determine authorization, relation to injury, and appropriateness of service. • May refer high dollar bills to BR department for advanced negotiation as identified in negotiation protocol. Closing 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