Eligibility Professional - Medicaid

Training class to start early July. Training is approximately 9 weeks

Position is Onsite in Topeka Kansas

Hours:8 4:30 pm CST

Wage:

• Transaction Processing Associate III Bilingual $17.75/hr
• Transaction Processing Associate III $17.25/hr

Job Description:

As part of the KanCare Clearinghouse Program the Eligibility Professional 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 nonfinancial criteria. Document the eligibility decision in the electronic case journal and send appropriate systembased 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 uptodate knowledge of regulations policies and guidelines.

Minimum Qualifications/Experience

• High School diploma or GED equivalent; postsecondary education preferred
• Strong computer skills with the ability to maneuver in complex software systems
• Requires excellent data entry skills the ability to type 2830 minutes per minute accurately

MS Office Outlook and Internet usage experience

Preferred Skills or Knowledge:

• Knowledge of Medicaid and managed care programs
• Minimum of two (2) years experience in determining LongTerm Care Elderly and Disabled or Family Medical eligibility
• Successfully complete KDHE Eligibility Training and sandboxing
• Bilingual Spanish/English with the ability to speak and read both languages fluently.
• 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
• Willingness to work as part of a team
• Maintain the integrity and confidentiality of all records and communications
• All other duties as assigned.

Pay Transparency Laws in some locations require disclosure of compensation and/or benefitsrelated information. For this position actual salaries will vary and may be above or below the range based on various factors including but not limited to location experience and performance. In addition to base pay this position based on business need may be eligible for a bonus or incentive. In addition Conduent provides a variety of benefits to employees including health insurance coverage voluntary dental and vision programs life and disability insurance a retirement savings plan paid holidays and paid time off (to be taken after 180 days) or vacation and/or sick time. The estimated hourly rate for this role is $17.25.

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 submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to.You may alsoclick here to access Conduents ADAAA Accommodation Policy.

At Conduent we value the health and safety of our associates their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs we DO require that you provide us with your vaccination status where legally permissible. Providing this information is a requirement of your employment at Conduent.

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 submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to.You may alsoclick here to access Conduents ADAAA Accommodation Policy.

At Conduent we value the health and safety of our associates their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs we DO require that you provide us with your vaccination status where legally permissible. Providing this information is a requirement of your employment at Conduent.