Conduent Eligibility Professional in Topeka, Kansas
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.
Hourly rate $15.00
Conduent offers a robust benefits package i.e., paid vacation, medical, dental, vision, life insurance and 401K
*The position is in Topeka, KS, however, the work may be performed from home at times considering the economic and office impact of Covid-19
As part of the KanCare Clearinghouse Program, the Eligibility Professional Specialist will perform a variety of duties. The position is responsible for gathering thorough documentation and entering information into various systems
Essential duties may include, but are not limited to:
Analyze the initial applications and reviews (for Family Medical programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance. Investigate the applicant circumstances thorough the use of available computer systems (Databases, registries, and informational deposits) researching records provided by the applicant and their contacts to provide the information about the household income, resources, and expenses upon which the eligibility determination is made.
Entering household information and authorizing eligibility within the Kansas Economic and Enforcement System (KEES). Professional completes determinations using State and Federal regulations to determine eligibility for medical benefits based on financial and non-financial criteria. Document the eligibility decision in the electronic case journal and send appropriate system-based and manual correspondence to customers and representatives explaining the results of the eligibility determination and information regarding appeal rights.
Eligibility Professionals are expected to use knowledge of State eligibility processes, policies, and procedures governing managed care enrollment to communicate with consumers regarding a variety of issues.
Attend training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Through training and experience, begin to develop expertise in additional areas of determination categories.
Maintain with up-to-date knowledge of regulations, policies, and guidelines
Willingness to work as part of a team
Maintain the integrity and confidentiality of all records and communications
All other duties as assigned
High School diploma or GED equivalent; post-secondary education preferred
Experience using MS Office, Outlook, and Internet
Preferred Skills or Knowledge:
Knowledge of Medicaid and managed care programs
One (1) year experience preferred in determining Long-Term Care, Elderly and Disabled, or Family Medical eligibility
Successfully complete KDHE Eligibility TrainingStrong computer skills with the ability to maneuver in complex software systems
Ability to manage competing priorities
Demonstrated critical thinking skills
Must possess good interpersonal and communication skills both verbally and in writing including knowledge of basic grammar, spelling & punctuation
Requires excellent data entry skills the ability to type 28-30 minutes per minute accurately
Bilingual a plus
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.