Transaction Processing Associate I

Conduent State Healthcare, LLC•Albuquerque, NM

3d•Remote

About The Position

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. Interested in supporting New Mexico Medicaid Program? Conduent has immediate opening for a Transaction Processing Associate I Position. This is a great opportunity to learn about Medicaid Program!

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.