Medicaid Eligibility Specialist

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. Position is remote and individual must reside in Kansas **Hours:** 8 – 4:30 pm CST **Training length:** approximately 10 weeks to include sandboxing * 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 Transaction Processing Associate III (ES) 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 Professional may be required to make outbound calls, based on established policy, to verify or obtain missing information when documentation is incomplete and the information can be resolved via telephone contact. * 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, develop expertise in additional areas of determination categories. * Maintain with up\-to\-date knowledge of regulations, policies, and guidelines. **Preferred Skills or Knowledge:** * Knowledge of Medicaid and managed care programs * Minimum of two (2\) years’ experience in determining Long\-Term Care, Elderly and Disabled, or Family Medical eligibility