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  • Marion, IN

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Eligibility Specialist - WG13/HERQ

Conduent, Inc. • Marion, IN

Posted 25 days ago

Job Snapshot

Full-Time
Degree - High School
Other Great Industries
Other

Job Description



Overview

As a member of the corporate team, you’ll focus on enhancing the relationship with our clients as we provide outstanding business solution services. Within departments like Accounting & Finance, Human Resources, and Engineering, Conduent is actively staffing all teams with roles like Recovery Analyst, Client Services Specialist, and Senior Management Consultant. At Conduent, we give our employees the opportunity to further develop their career skills with the intention of growing them into leaders within the organization.

  • Full Time
  • Experienced
  • Professional Development Opportunities


Success Profile

What will make you successful at Conduent?
Check out the traits we’re looking for and see if you have the right mix.

  • Adaptable 9
  • Detail-Oriented 9
  • Multi-Tasker 8
  • Strategic 10
  • Expressive Presenter 6
  • Conceptual 4
Traits are on a scale of 1 to 10

Addtional Traits

  • Insightful
  • Organized
  • Consistent
  • Efficient
  • Focused
  • Logical
  • Responsible
  • Versatile


Rewards

  • Healthcare
  • Conduent is proud to offer comprehensive and competitive benefits that reflect the value of our employees. Benefits will differ by country, please contact your recruiter for details specific to your location.

  • Balance
  • Maintaining a work/life balance is the key to success.

  • Collaboration
  • Department learning opportunities and company-wide digital knowledge share.

  • Compensation
  • Competitive salaries.

  • Family Support
  • Additional resources to support employees with families.

  • Professional Development
  • Conduent offers programs to help advance the careers of our employees.



Responsibilities

Description
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.

Job ResponsibilitiesProcess medical records received from providers.Conduct Social Summary for Medicaid Disability Progress Reports and Category Changes with applicant/recipients.
Initiate client/provider contact for missing information.Prepare and mail correspondence to clients and providers.Refer cases to MRT (Medical Review Team) for final disability determination.
Schedule progress report appointments for applicant/recipients.Receive, review, and initiate client requests for Hearings and Appeals.
Review and copy documentation to newly created appeals cases.Navigate and enter client data into the ICES and FACTS systems.Research client data and complete Inquiry Requests from clients and third parties.
Mail and fax documentation as allowed per privacy laws.Abide by HIPPA and Confidentiality Agreements.Complete policy quizzes and Random Moment surveys timely.Additional duties may be assigned as required by business needs.QUALIFICATIONS: High School Diploma
Must have experience using MS Office products--adobe professional experience preferred
Ability to perform basic mathematical calculations
Ability to learn and follow standard business policies and processes
Ability to understand and follow Operational instructions and ask questions if there is something that they don't understand
Ability to organize and meet deadline and quality standards
Maintain the integrity and confidentiality of all records and communications
Excellent verbal and written communication skills required
Ability to use tact and empathy in dealing with people from varied backgrounds
Good work ethic
1 plus years of experience performing administrative support or program support in counseling, education, health care, public administration, social services, vocational rehabilitation, or related experience preferred. Substitution: Accredited college training in any of the following areas may substitute for the required experience on a year for year basis: Business Administration, Child Development, Counseling, Education, Health Care, Psychology, Public Administration, Social Work, Sociology, or a related area.

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.
Job ID: 19006796
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