Transaction Processing Associate I

Conduent•Albuquerque, NM

1d•Remote

About The Position

This is a remote position supporting the New Mexico Medicaid Program. The Transaction Processing Associate I will be responsible for conducting community presentations, providing information about the New Mexico Medicaid Program, and assisting beneficiaries with enrollment and eligibility. The role involves processing eligibility applications, determining eligibility based on program regulations, entering data into a web-based system, and following up with beneficiaries. The associate will also support the research process unit for the SBE, ensure accurate data entry with a low error rate, assist in the call center, train new staff, and work independently on projects. Maintaining good attendance, punctuality, and adherence to policy changes are crucial. The position requires building community relationships and providing administrative support through tasks like data entry and scanning.

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.
Care Coordination Experience

Nice To Haves

Seasoned processor with strong knowledge of all systems used for processing – SME (subject matter expert)
Assist/train new staff when needed.

Responsibilities

Conducts presentations throughout the community on New Mexico Medicaid Program.
Provide accurate information about the New Mexico Medicaid Program and assist beneficiaries in enrollment and eligibility assistance.
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.
Support the research process unit for the SBE (state-based exchange).
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 in the call center when needed.
Train new staff.
Work independently on projects.
Maintain good attendance and punctuality.
Adhere to changes in policy and procedure.
Provide clear, complete, accurate, and objective information based on a full understanding of program requirements.
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.