Eligibility Professional

1 month ago

Topeka, 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.


 

 

 

Hourly Rate - $17.25/hr Bilingual $17.75/hr

 

Job Description:

As part of the KanCare Clearinghouse Program, the Eligibility Professional Specialist will perform a variety of duties. The position is responsible for gathering thorough documentation and entering information into various systems 

Essential duties may include, but are not limited to:

  • Analyze the initial applications and reviews (for Family Medical programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance.  Investigate the applicant circumstances thorough the use of available computer systems (Databases, registries, and informational deposits) researching records provided by the applicant and their contacts to provide the information about the household income, resources, and expenses upon which the eligibility determination is made.
  • Entering household information and authorizing eligibility within the Kansas Economic and Enforcement System (KEES). Professional completes determinations using State and Federal regulations to determine eligibility for medical benefits based on financial and non-financial criteria. Document the eligibility decision in the electronic case journal and send appropriate system-based and manual correspondence to customers and representatives explaining the results of the eligibility determination and information regarding appeal rights. 
  • Eligibility Professionals are expected to use knowledge of State eligibility processes, policies, and procedures governing managed care enrollment to communicate with consumers regarding a variety of issues.
  • Attend training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs.  Through training and experience, begin to develop expertise in additional areas of determination categories.
  • Maintain with up-to-date knowledge of regulations, policies, and guidelines.

Preferred Skills or Knowledge:

  • Knowledge of Medicaid and managed care programs
  • Ability to manage competing priorities
  • Demonstrated critical thinking skills
  • Must possess good interpersonal and communication skills both verbally and in writing including knowledge of basic grammar, spelling & punctuation
  • Requires excellent data entry skills the ability to type 28-30 minutes per minute accurately
  • Willingness to work part of a team
  • Maintain the integrity and confidentiality of all records and communications
  • All other duties as assigned.
  • Bilingual Spanish/English with the ability to speak and read both languages fluently.

Qualifications/Experience

  • High School diploma or GED equivalent; post-secondary education preferred
  • Preferred two (2) yearsâ experience in determining Long-Term Care, Elderly and Disabled, or Family Medical eligibility
  • Successfully complete KDHE Eligibility Training
  • Strong computer skills with the ability to maneuver in complex software systems
  • Intermediate level of skill with MS Office, Outlook, and Internet usage

 

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 pay for this role is $17.25 per hour.


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.

  • Eligibility Professional Coach

    1 day ago

    Topeka, 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...

  • Eligibility Professional

    4 weeks ago

    Topeka, United States Conduent Full time

    Job DescriptionHourly Rate - $17.25/hr Bilingual $17.75/hrJob Description: As part of the KanCare Clearinghouse Program, the Eligibility Professional Specialist will perform a variety of duties. The position is responsible for gathering thorough documentation and entering information into various systems Essential duties may include, but are not limited to:...

  • Eligibility Professional

    1 month ago

    Topeka, 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...

  • Eligibility Specialist

    3 weeks ago

    Topeka, Kansas, United States Conduent Full time

    Job Title: Eligibility ProfessionalConduent is seeking a highly skilled Eligibility Professional to join our team. As a key member of our team, you will play a critical role in determining eligibility for medical benefits for our clients.Key Responsibilities:Analyze initial applications and supporting documentation to determine eligibility for federal and...

  • Eligibility Specialist

    3 weeks ago

    Topeka, Kansas, United States Conduent Full time

    Job Description:Conduent is seeking a highly skilled Eligibility Professional to join our team in Kansas. As a key member of our KanCare Clearinghouse Program, you will play a critical role in determining eligibility for federal and state medical assistance.Key Responsibilities:Analyze initial applications and supporting documentation to determine...

  • Eligibility Specialist

    3 weeks ago

    Topeka, Kansas, United States Conduent Full time

    Job SummaryWe are seeking a highly skilled Eligibility Professional to join our team at Conduent. As a key member of our team, you will be responsible for determining eligibility for medical benefits and ensuring that our clients receive the support they need.Key ResponsibilitiesAnalyze initial applications and supporting documentation to determine...

  • Medicaid Eligibility Trainer

    2 weeks ago

    Topeka, Kansas, United States Conduent Full time

    At Conduent, we are seeking a skilled Medicaid Eligibility Trainer to join our team. As a key member of our training team, you will play a critical role in delivering high-quality training programs to our employees.Key Responsibilities:Develop and deliver training sessions on Medicaid data entry and registration, as well as internal policies and...

  • RN Assessor

    3 weeks ago

    Topeka, Kansas, United States Wellcove Full time

    Job Title: RN Assessor - Long Term Care Insurance Eligibility SpecialistAs a Registered Nurse (RN) Onsite Assessor for Wellcove's AssuriCare branch, you will be responsible for scheduling and completing Long Term Care Insurance eligibility assessments. These assessments are non-medical, observational, and require you to document Claimant demographics,...

  • Travel Healthcare Professional

    3 weeks ago

    Topeka, Kansas, United States Medical Solutions Full time

    Medical Surgical Registered Nurse OpportunityThis Medical Surgical Registered Nurse position in Topeka, KS offers a unique chance for personal and professional growth. As a travel healthcare professional, you'll have the opportunity to explore new destinations and experiences while providing top-notch patient care.At Medical Solutions, we prioritize our...

  • Medical Support Professional

    2 weeks ago

    Topeka, Kansas, United States AdventHealth Full time

    Benefits and Perks for You and Your Family:Competitive benefits and paid time off from day oneEmployee referral programCareer development opportunitiesSign-on bonus for eligible candidatesOur Commitment to You:At AdventHealth, we believe in the importance of whole-person care. Our teams are dedicated to providing exceptional service and care to our patients,...

  • Dental Professional

    4 weeks ago

    Topeka, Kansas, United States RSMC Services, Inc Full time

    Job OpportunityWe are seeking a skilled Locum Dentist to provide dental services to patients in a supportive environment.Competitive daily rate of $1200Paid transportation and lodgingPaid malpractice insuranceWeekly direct depositStress-free onboarding processSimplified credential processA dedicated recruiter available after hours and for weeksProvided...

  • Healthcare Professional

    2 weeks ago

    Topeka, Kansas, United States The Healthcare Resort of Topeka Full time

    Job Title: Registered Nurse (RN)Schedule: Shifts of 6am-6pm or 6pm-6amDuties: Provide high-quality patient care by monitoring their condition and assessing their needs. Collaborate with physicians and other nurses to develop individualized care plans. Perform routine procedures, such as blood pressure measurements and administering injections, and document...

  • Traveling Medical Professional

    2 weeks ago

    Topeka, Kansas, United States Medical Solutions Full time

    Explore Your Travel Nursing Career with Medical SolutionsWe're seeking a dedicated Registered Nurse to join our team in Med Surg at a top-rated facility in Topeka, KS. As a travel nurse with Medical Solutions, you'll enjoy a competitive hourly rate of ~$20.14-$26.58 and eligible per diems.Benefits and Job DetailsCompetitive Hourly Rate:...

  • Medical Professional

    2 weeks ago

    Topeka, Kansas, United States UKHS St. Francis Campus Full time

    Overview As a Medical Surgical 7th floor Registered Nurse at Ardent Health, you may be eligible for a Sign On Bonus of up to $20,000. We are seeking a night shift, full-time Registered Nurse to join our team in Topeka Kansas. At Ardent Health, we prioritize our people and offer a comprehensive benefits package, including medical, vision, dental health...

  • Tax Professional I

    3 months ago

    Topeka, United States H&R Block Full time

    Job Description:At H&R Block, we believe in the power of people helping people. Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere. We also believe in a connected culture, valuing diversity and inclusion and making everyone feel like they belong.We strive to continuously improve our business...

  • Certified Nursing Assistant

    3 weeks ago

    Topeka, Kansas, United States Skilled Nursing Professionals Full time

    Job Title: Certified Nursing Assistant (CNA)Schedule: Full-Time 6am-6pm and/or 6pm-6am (FT comes with benefits)Part-Time 4pm-10pmDuties:Assist residents with basic activities of daily living (ADL's).Promptly answer resident call lights.Transport and assist residents throughout the facility.Maintain safety of residents at all times.Qualifications:CNA license...

  • Overnight Customer Service Representative

    1 month ago

    Topeka, Kansas, United States Crunch Fitness Full time

    Job Title: Overnight Member Services RepresentativeAt Crunch Fitness, we're committed to creating an inclusive and diverse workplace. As an Overnight Member Services Representative, you'll be the face of our operation, handling all preliminary guest questions and concerns while maintaining a fun and supportive atmosphere for our members.Key...

  • Behavior Therapist

    2 weeks ago

    Topeka, Kansas, United States INTEGRATED BEHAVIORAL TECHNOLOGIES INC Full time

    About the Role:Integrated Behavioral Technologies Inc. is seeking a dedicated and compassionate Behavior Technician to join our team. As a Behavior Technician, you will work closely with our treatment team to develop and implement behavioral interventions using an applied behavioral analytic framework.Responsibilities:Conduct intervention and data collection...

  • Optometrist Opportunity

    3 weeks ago

    Topeka, Kansas, United States Walmart Full time

    Optometrist OpportunityAs an Independent Optometrist at Sam's Club, you will have the autonomy to establish your own practice, setting your own days of operation, hours, and patient schedule. You will also have the opportunity to keep 100% of exam and professional fees.Key ResponsibilitiesProvide eye and vision care services to patientsEstablish and maintain...

  • Nurse Practitioner

    2 weeks ago

    Topeka, United States Gentiva Hospice Full time

    Our Company Gentiva Hospice is a member of the Gentiva family – an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for...