Health Benefit Coordinator/Application Processor

Company: Conduent
Location: Cannon
Posted on: May 29, 2023

Job Description:

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$16.20/hrAre you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking? Monday Friday 8:00-5:00 PM Onsite positionJoin the Conduent 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.

• $16.20 per hour pay rate (bi-weekly pay)
• No weekends
• Paid Training
• 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 Benefit 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 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 investigates 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 systemMinimum Experience Requirements
    • HS Diploma or greater Associates 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 desiredAbout UsThrough 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.Join UsAre you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking? Come join us and grow with a team of people who will challenge and inspire you to be the best!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 clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. 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. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible.RequiredPreferredJob Industries
      • Healthcare

Keywords: Conduent, Knoxville , Health Benefit Coordinator/Application Processor, Healthcare , Cannon, Tennessee