[Hiring] Transaction Processing Associate I @Conduent

Role Description

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.

• 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.
• Seasoned processor with strong knowledge of all systems used for processing – SME (subject matter expert).
• 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.
• 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.

Qualifications

• Must be 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.

Requirements

• Pay is $16.50/hour, which may be below your state's minimum wage.
• Paid Training.
• Medical, dental, 401K/matching, vision benefits, and more!
• PerkSpot - Employee discount program.
• Career growth opportunities.
• Positive employee friendly culture.
• Full time (Mon. – Fri. 8:00 AM – 4:30 PM).

Benefits

• Health insurance coverage.
• Voluntary dental and vision programs.
• Life and disability insurance.
• Retirement savings plan.
• Paid holidays.
• Paid time off (PTO) or vacation and/or sick time.