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Field Health Benefits Coordinator
United States
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Posted: 2023-02-08
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44 Views
Job Overview & Requirements
«out Conduent 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. Job Description Field Health Benefits Coordinator Pay: $20/hour Location: New Brunswick, NJ Job Description for Outreach Field Health Benefits Coordinator Position Purpose: Reports directly to the Outreach Supervisor. Conducts presentations throughout the community on NJ Family Care Program. Will meet with groups or individuals. Provides courteous and accurate information on NJ Family Care and can assist beneficiaries in providing program information, and enrollment and eligibility assistance for potential and existing NJ Family Care beneficiaries. Processes eligibility applications and determines eligibility for the NJ Family Care program and refers beneficiaries that are potentially eligible for Medicaid to DMAHS for review. Enters eligibility information into a web-based computer system and references other NJ-specific databases as appropriate. Follows up with beneficiaries with correspondence, performs file updates as information comes in, and assesses service/information Essential duties may include, but are not limited to: Being able to switch from task to task on a greater level than the current HBC Support the research process unit for the SBE (state-based exchange) Be available to attend Outreach events Determine eligibility for NJ Family Care according to the NJFamily 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 Work independently on projects Assist/train new staff when needed Maintain good attendance and punctuality professionally handle customers via phone or walk-in Adhere to changes in policy and procedure - uphold them in an integral manner amongst peers despite your opinion of them Understand some responsibilities will evolve with time Conduct presentations to educate consumers about the NJFamilyCare program to the public. Assist consumers with completing new and renewal applications Provide coverage at community events and health fairs where program education may occur. Provide clear, complete, accurate, and objective information based on a full understanding of program requirements Build relationships with the community and advocacy groups. Minimum Experience Requirements: Associate's degree from an accredited college or university. Two (2) minimum experience in a healthcare field. Knowledge and operational experience in Medicaid and/or CHIP programs are a plus. General knowledge of public health, managed care, human services systems, and local and statewide political systems preferred. Experience working with people representing diverse backgrounds, preferred. Required skills/abilities: Knowledge of Medicaid and managed care programs. Ability to problem solve through analysis and ongoing feedback. Ability to work with people of diverse backgrounds. Ability to handle multiple tasks and meet deadlines, flexibility under pressure Ability to maintain strict confidentiality Capable of working independently Excellent verbal, written, and interpersonal skills Bilingual capabilities a plus Ability to interpret and apply program policies and procedures as appropriate Ability to use basic arithmetic procedures to determine the household size and income and determine program eligibility. Ability to apply logical reasoning to make timely, effective decisions. Closing 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
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Job Summary
Category
Vacant
Country
United States
Employment Type
Full Time
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