Xerox Eligibility Specialist - Hearings and Appeals in Fort Wayne, Indiana

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. Xerox serves clients in more than 160 countries. For more information, visit www.xerox.com, www.news.xerox.com, www.realbusiness.com or www.xerox.com/businessservices.

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

REQUIREMENTS/QUALIFICATIONS:

High School Diploma/GED

Extensive Experience with ICES(Indiana Client Eligibility System) or WFMS (Workflow Management System and SMART.

Experience working w/ Public Assistance Programs (Medicaid, TANF, Food Stamps)

Extensive experience with the Indiana Eligibility Modernization Project (Policy and Procedures)

Preferred:

2 plus years of experience working w/ Public Assistance Programs (Medicaid, TANF, Food Stamps)

Consistently maintaining high quality and production scores

Must be proficient using MS office –Word, Excel, Outlook

Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, 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 or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to accommodations@xerox.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.

Job: Service Delivery Healthcare

Organization: Transaction Processing

Title: Eligibility Specialist - Hearings and Appeals

Location: Indiana-Fort Wayne

Requisition ID: 16029540

Virtual/work from home? No