Transaction Processing Associate I

Conduent•Remote, NM

3d•Remote

About The Position

This is a remote position supporting the New Mexico Medicaid Program. The Transaction Processing Associate I will conduct community presentations, provide accurate information about the program, and assist beneficiaries with enrollment and eligibility. The role involves processing eligibility applications, determining eligibility, entering data into a web-based system, and following up with beneficiaries. Occasional office visits may be required.

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.

Nice To Haves

Must reside within 50 Miles Radius of Alburquerque, NM

Responsibilities

Support the research process unit for the SBE (state-based exchange) and seasoned processor with strong knowledge of all systems used for processing – SME (subject matter expert).
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/train new staff and assist in the call center when needed.
Maintain good attendance and punctuality and work independently on projects.
Adhere to changes in policy and procedure and 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.
Occasionally, you will have to go into the office if needed.