Conduent Eligibility Specialist - Hearings and Appeals (St. Joseph Region) in South Bend, Indiana

Eligibility Specialist - Hearings and Appeals (St. Joseph Region)


Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.

We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.

Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at .

Job Responsibilities

  • Completes pre-hearing conferences with clients who are appealing the eligibility decisions for FS, TANF, Hoosier Healthwise, Medicaid A B or D and IMPACT.

  • Reviews cases under appeal to ensure that case information was gathered and processed in a complete and accurate manner in accordance with State policy.

  • Enters client data into the ICES system

  • Assists clients with understanding their rights and responsibilities under the appeals process.

  • Documents verification of eligibility into the ICES system and summarizes case activity on CLRC or CLSC screens

  • Documents all hearing related information and activity in ICES and FACTS systems.

  • Works assigned alerts, and incoming documents daily

  • Answers customer questions regarding appeals and appeals process.

  • Prepares and presents a hearing exhibit packet for a fair hearing as a representative of the state of Indiana.

  • Completes all corrective actions on second party review, Quality Assurance or Quality Control errors

  • Completes policy quizzes and Random Moment surveys timely

  • Additional duties may be assigned as required by business needs

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 .

Job Service Delivery Healthcare

Primary Location United States-Indiana-South Bend

Organization Public Sector

Unposting Date Ongoing

Req ID: 18005344