Location: Lakeland, FL
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.
- Full Time
- Professional Development Opportunities
What will make you successful at Conduent?
Check out the traits we’re looking for and see if you have the right mix.
- Adaptable 9
- Detail-Oriented 9
- Multi-Tasker 8
- Strategic 10
- Expressive Presenter 6
- Conceptual 4
Traits are on a scale of 1 to 10
Conduent is proud to offer comprehensive and competitive benefits that reflect the value of our employees. Benefits will differ by country, please contact your recruiter for details specific to your location.
Maintaining a work/life balance is the key to success.
Department learning opportunities and company-wide digital knowledge share.
- Family Support
Additional resources to support employees with families.
- Professional Development
Conduent offers programs to help advance the careers of our employees.
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 businessQualifications:
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 experienceComputer 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.