Health Benefits Application Processor
4 weeks ago
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.
Health Benefits Coordinator/Application Processor
Pay Rate: $18.50/Hourly
Paid Training
Full-time with Full-Benefits
Join the Conduent Customer Service Team
Come join us and grow with a team of people who will challenge and inspire you to be the best
Working for you
Enjoy a positive, employee-friendly culture while playing an important role in supporting our clients.
$18.50 per hour pay rate (bi-weekly pay)
No weekends
Paid Training
PerkSpot-Employee discount program
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 you’ll be able to thrive both personally and professionally.
About this Role
Reports directly to the Eligibility Health Benefits Coordinator Supervisor. Processes eligibility applications and determines eligibility for the NJ FamilyCare 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.
Essential duties may include but are not limited to:
Review renewal information on the web-based system and associated imaged documents. Verify data displayed for the renewal is consistent with the information on the imaged documents.
Identify missing information and initiate requests for the generation of missing \information notices.
Document missing information in the web-based computer system.
Enter, review, and process missing information when documentation is received.
Determine eligibility for NJ FamilyCare according to the NJ FamilyCare 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.
Verify the information provided by beneficiaries and investigate discrepancies.
Initiate telephone calls to beneficiaries to follow up and confirm information, as necessary.
Immediately report any technical problems with equipment, systems, or facilities to the Eligibility Determination Supervisor.
Refer beneficiaries potentially eligible for Medicaid to DMAHS using the functionality of the web-based computer system.
Minimum Experience Requirements
HS Diploma or greater associate degree preferred.
Background screening required.
Two years of customer service experience in a healthcare field preferred
Experience working with detailed data and following defined procedures.
Experience in the determination of beneficiary eligibility for public assistance is desired.
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 pay for this role is $18.50 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 submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. 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.
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