Medicaid Eligibility Specialist

Medicaid Eligibility Specialist (Hybrid) Must reside within 50 Miles Radius of Alburquerque, NM Pay is $16.50 Hourly Join the Conduent Customer Service Team Interested in supporting New Mexico Medicaid Program? Conduent has immediate opening for the Medicaid Eligibility Specialist Position. This is a great opportunity to learn about Medicaid Program! Working for you Here are a few good reasons to work at Conduent: Pay Rate is $16.50 per hour (Bi-weekly pay), which may be below your state's minimum wage. Please take this into consideration when applying. Paid Training Medical, dental, 401K/matching, vision benefits, and more! PerkSpot - Employee discount program Career growth opportunities Positive employee friendly culture Full time (Mon. – Fri. 8:00 AM – 4:30 PM) Hybrid (WFH 4 days/of the week 1 day in the office) Hybrid after training period Requirements Must at least 18 years of age or older Have a High School Diploma or an equivalent level of education. Must be able to submit to a pre-employment screening Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship. Summary Medicaid Eligibility Specialist reports directly to the Outreach Supervisor. Conducts presentations throughout the community on New Mexico Medicaid Program. Will meet with groups or individuals. Provide accurate information about the New Mexico Medicaid Program and can assist beneficiaries in enrollment and eligibility assistance for potential and existing New Mexico Medicaid beneficiaries. Processes eligibility applications and determines eligibility for the program. Enters eligibility information into a web-based computer system and references other NM-specific databases as appropriate. Follows up with beneficiaries with correspondence, performs file updates as information comes in, and assesses service/information. What you will be doing: Support the research process unit for the SBE (state-based exchange) and seasoned processor with strong knowledge of all systems used for processing – SME (subject matter expert). Determine eligibility for NM Medicaid Program according to the NM Medicaid Care regulations/guidelines by reviewing documentation to accurately enter data into a web-based computer system and following procedures for running automated eligibility rules; prepare correspondence for missing information as appropriate; make outbound calls to obtain, clarify, or validate the information. Process applications while maintaining an error rate of 5% or below. Assist/train new staff and assist in the call center when needed. Maintain good attendance and punctuality and work independently on projects. Adhere to changes in policy and procedure and build relationships with the community and advocacy groups. Provides administrative support to the business operations by performing processing tasks such as data entry, scanning, mail sorting or similar activities, electronic portal, media conversation, content storage and retrieval. Occasionally, you will have to go into the office if needed. Come join us and grow with a team of people who will challenge and inspire you to be the best! Apply Today! Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $16.50.