Eligibility County Coordinator

Conduent; Hamilton Township (NJ); Hybrid; USD 55,875,000 - 65,904,000; Full time

Benefits offered by this job

Benefits from day one

Paid training

PTO and holidays

Employee discount program

Job summary

Conduent is seeking an Eligibility County Coordinator in Hamilton, NJ offering a hybrid schedule. You will process NJ Family Care eligibility and refer Medicaid-eligible cases to DMAHS, updating records in web-based systems and communicating with beneficiaries and county offices.

A High School Diploma is required, with Associate degree preferred, and 2+ years of healthcare customer service experience is desirable.

Qualifications

• High School Diploma required; Associate degree preferred.
• 2+ years of healthcare customer service experience recommended.
• Experience processing detailed information and following procedures.
• Public assistance or eligibility experience preferred.

Responsibilities

• Review eligibility applications for NJ Family Care accuracy.
• Determine eligibility using established policies and systems.
• Enter and update eligibility data in web-based systems.
• Refer potentially Medicaid-eligible beneficiaries to DMAHS for review.
• Handle inbound/outbound calls with beneficiaries and county offices.
• Maintain confidentiality and work with multiple databases.

Skills

Healthcare customer service

Data entry

Policy interpretation

Communication

Confidentiality

Microsoft Office

Bilingual (plus)

Education

High School Diploma

Associate degree

Tools

Web-based systems

Job description

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.

Eligibility County Coordinator

Hybrid - Hamilton, NJ

Pay rate between $19.50 -$23.00/hr. (which may be below your state's minimum wage. Please consider this when applying)

Employment type: Full-time

About This Role

Reports directly to the Eligibility Health Benefit Coordinator Supervisor. Processes eligibility applications and determines eligibility for the NJ Family Care program and refers to beneficiaries who 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. Acts as a liaison between the county offices and Conduent.

Minimum Requirements

• High School Diploma required; Associate degree preferred.
• 2+ years of customer service experience in healthcare preferred.
• Experience processing detailed information and following established procedures.
• Public assistance or eligibility determination experience is strongly preferred.

Essential duties may include, but are not limited to

• Review and verify application information and support documentation for accuracy, completeness, and compliance with NJ Family Care guidelines.
• Identify, document, and follow up on missing information; process updates and correspondence as required.
• Determine eligibility for NJ Family Care using established policies, procedures, and automated eligibility systems.
• Enter, maintain, and update eligibility, renewal, and status-change information in web-based systems.
• Verify beneficiary information, investigate discrepancies, and contact applicants as needed to obtain or clarify required information.
• Refer potentially Medicaid-eligible beneficiaries to DMAHS and route cases for supervisory review when required.
• Support enrollment operations by handling inbound and outbound calls with beneficiaries and county offices.
• Participate in quality improvement initiatives, training programs, and ongoing process enhancements.
• Report technical issues promptly and perform additional duties as assigned.

Required Skills/Abilities

• Working knowledge of Medicaid, managed care, and public assistance eligibility programs.
• Strong data entry, analytical, and information gathering skills with attention to detail and accuracy.
• Ability to interpret and apply policies, procedures, and eligibility requirements.
• Strong problem-solving and decision-making skills, including basic math calculations for eligibility determinations.
• Excellent verbal, written, and interpersonal communication skills.
• Ability to build effective relationships with beneficiaries, colleagues, and community partners.
• Strong organizational skills with the ability to multitask, meet deadlines, and perform effectively under pressure.
• Ability to maintain confidentiality, exercise sound judgment, and work independently.
• Proficiency in Microsoft Office and web-based systems.
• Bilingual skills are a plus.
• What we offer:
• Competitive hourly pay
• Benefits from day one (medical, dental, vision) for eligible roles
• Paid time off and holidays
• Paid training
• Employee discount program
• Career growth and advancement opportunities
• Supportive and inclusive work environment

Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time

We are currently NOT hiring in the following geographies, including but not limited to

States: AK, CA, HI, MA, IL, MT & NY

Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related 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 (PTO) or vacation and/or sick time. The estimated salary range for this role is $19.50-$23.00 per hour.

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.

For US applicants: 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 [e-mail]. You may also click here to access Conduent's ADAAA Accommodation Policy.