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Field Health Benefits Coordinator

3 months ago

New Brunswick, United States Conduent State Healthcare, LLC Full time

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.


Field Health Benefits Coordinator 

$20.00/Hourly 

Location: New Brunswick, NJ 

Full-time with Full Benefits 

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Are you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking?⯠

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Position Purpose: Reports directly to the Outreach Supervisor. Conducts presentations throughout the community on the NJ Family Care Program. Will meet with groups or individuals. Provides courteous and accurate information on NJ Family Care and can assist beneficiaries in providing program information, and enrollment and eligibility assistance for potential and existing NJ Family Care beneficiaries. Processes eligibility applications and determines eligibility for the NJ Family Care program and refers beneficiaries that are potentially eligible for Medicaid to DMAHS for review. Enters eligibility information into a web-based computer system and references other NJ-specific databases as appropriate. Follows up with beneficiaries with correspondence, performs file updates as information comes in, and assesses service/information. 

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Working for you⯠

Enjoy a positive, employee-friendly culture while playing an important role in supporting our clients. 

$20.00 per hour pay rate (bi-weekly pay)⯠

Full-time schedule (40 hrs. a week)⯠

Career Growth Opportunities⯠

Full Benefit Options - From the start, our paid training program will teach you all the skills needed to allow you to become successful in your role. We also offer a full benefits package, so youâll be able to thrive both personally and professionally.⯠

 

 

 

About the Role⯠

Being able to switch from task to task on a greater level than the current HBC. 

Support the research process unit for the SBE (state-based exchange) 

Be available to attend Outreach events. 

â¯Determine eligibility for NJ Family Care according to the NJFamily 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. 

Seasoned processor with strong knowledge of all systems used for processing â SME (subject matter expert) 

Process applications while maintaining an error rate of 5% or below. 

Assist in the call center when needed. 

Work independently on projects. 

Assist/train new staff when needed. 

Maintain good attendance and punctuality. 

professionally handle customers via phone or walk-in 

Adhere to changes in policy and procedure - integrally uphold them amongst peers despite your opinion of them. 

Understand some responsibilities will evolve with time. 

Conduct presentations to educate consumers about the NJFamilyCare program to the public.⯠

Assist consumers with completing new and renewal applications. 

Provide coverage at community events and health fairs where program education may occur.⯠

Provide clear, complete, accurate, and objective information based on a full understanding of program requirements. 

Build relationships with the community and advocacy groups. 

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Minimum Experience Requirements: 

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Associate degree from an accredited college or university. 

Two (2) minimum experience in a healthcare field. 

Knowledge and operational experience in Medicaid and/or CHIP programs are a plus. 

General knowledge of public health, managed care, human services systems, and local and statewide political systems preferred. 

Experience working with people representing diverse backgrounds preferred.⯠

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Required skills/abilities: 

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Knowledge of Medicaid and managed care programs. 

Ability to problem solve through analysis and ongoing feedback. 

Ability to work with people of diverse backgrounds. 

Ability to handle multiple tasks and meet deadlines, flexibility under pressure. 

Ability to maintain strict confidentiality. 

Capable of working independently 

Excellent verbal, written, and interpersonal skills. 

Bilingual capabilities a plus 

Ability to interpret and apply program policies and procedures as appropriate. 

Ability to use basic arithmetic procedures to determine the household size and income and determine program eligibility. 

Ability to apply logical reasoning to make timely, effective decisions. 


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. You may also click here to access Conduent's ADAAA Accommodation Policy.

At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.