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Negotiation Specialist

Company: N/A

Location: Lakeland, FL

Pay: N/A

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Job Description



Overview





As a member of the corporate team, you’ll focus on enhancing the relationship with our clients as we provide outstanding business solution services. Within departments like Accounting & Finance, Human Resources, and Engineering, Conduent is actively staffing all teams with roles like Recovery Analyst, Client Services Specialist, and Senior Management Consultant. At Conduent, we give our employees the opportunity to further develop their career skills with the intention of growing them into leaders within the organization.















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Responsibilities





Description
IQ Analysis Specialist [Negotiation Specialist]

Summary:  The IQ Analysis Specialist reviews out of network bills to determine the reasonableness of each charge. The Specialist will negotiate with providers and facilities depending pursuant state guidelines and regulations. The Specialist is responsible for applying appropriate business rules to bills and applying Out of Network methodology when applicable. The Specialist is responsible for maintaining Turn Around Time (TAT), client specific instructions and manual application of discounts.

Essential Duties and Responsibilities

Negotiate discounts based on client specific Instructions, Turn Around time, state guidelines and like services.

Ability to interpret reviewed bills.

Effectively build and maintain relationships with providers and facilities to secure future discounts and/or long-term contracts.

Ability to effectively communicate and defend to providers and clients in writing and on the phone the basis for the methodology used to accomplish the reduction of charges. 

Reviews department policies and procedures regularly. 

Maintains a reference library of company and industry reimbursement policies.

Negotiates long-term provider discounts per client or Conduent book of business

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty with ease. The specialist must have at least five years of claims experience. Experience should have encompassed a variety of reduction methodologies from different sources.  Applicant must be willing to take on special projects and new assignments as needed. Applicant must have telephonic communication experience.

Education and/or Experience:
High school diploma
5 years healthcare experience

Computer Skills:
Comprehensive understanding of Internet, Windows interface, and software applications.








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.



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