Eligbility Specialists - Benefit Recovery

Conduent Marion , IN 46952

Posted 1 month ago

Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.

We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.

Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com.

If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.

Job Responsibilities

  • Completes pre-hearing conferences with clients who are appealing the eligibility decisions for FS, TANF, Hoosier Healthwise, Medicaid A B or D and IMPACT.

  • Reviews cases under appeal to ensure that case information was gathered and processed in a complete and accurate manner in accordance with State policy.

  • Enters client data into the ICES system

  • Assists clients with understanding their rights and responsibilities under the appeals process.

  • Documents verification of eligibility into the ICES system and summarizes case activity on CLRC or CLSC screens

  • Documents all hearing related information and activity in ICES and FACTS systems.

  • Works assigned alerts, and incoming documents daily

  • Answers customer questions regarding appeals and appeals process.

  • Prepares and presents a hearing exhibit packet for a fair hearing as a representative of the state of Indiana.

  • Completes all corrective actions on second party review, Quality Assurance or Quality Control errors

  • Completes policy quizzes and Random Moment surveys timely

  • Additional duties may be assigned as required by business needs

REQUIREMENTS/QUALIFICATIONS:

High School Diploma/GED

Extensive Experience with ICES(Indiana Client Eligibility System) or WFMS (Workflow Management System and SMART.

Experience working w/ Public Assistance Programs (Medicaid, TANF, Food Stamps)

Extensive experience with the Indiana Eligibility Modernization Project (Policy and Procedures)

Preferred:
2 plus years of experience working w/ Public Assistance Programs (Medicaid, TANF, Food Stamps)

Consistently maintaining high quality and production scores

Must be proficient using MS office Word, Excel, Outlook

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, sex, marital status, sexual orientation, physical or mental disability, 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 or compete for employment with Conduent Business Services or one of its subsidiaries may request such accommodation(s) by sending an e-mail to accommodations@Conduent.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.

'1910929


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Eligbility Specialists - Benefit Recovery

Conduent