Transaction Processing Associate I

Conduent•Albuquerque, NM

13h•Remote

About The Position

Transaction Processing Associate I 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.

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)

Responsibilities

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 and train new staff.
Work independently on projects.
Assist/train new staff when needed.
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.