Eligibility Processing Specialist – Medicaid

Conduent

. Conduct presentations throughout the community on the New Mexico Medicaid Program .

Posted 11/6/2026full-timeAlbuquerque • New Mexico • United StatesSeniorLead💰 $19 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medicaid program enrollment and eligibility assistance, with strong communication and customer service skills to effectively engage with beneficiaries and community groups. Proficient in data entry and maintaining accurate records while adhering to regulations and guidelines.

Highest-signal resume keywords

Medicaid Program KnowledgeEligibility ProcessingCustomer Service ExperienceData Entry SkillsStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Eligibility Application ProcessingData EntryDatabase DocumentationAutomated Eligibility RulesAttention to Detail

Soft Skills

Strong Work EthicProblem-Solving SkillsTime ManagementRelationship BuildingClear Communication

Tools & Technologies

Web-Based Computer SystemsNM-Specific Databases

Industry Keywords

New Mexico Medicaid ProgramEnrollment AssistancePolicy and Procedure ComplianceCommunity OutreachCustomer Concerns Handling

About the role

Key responsibilities & impact

Conduct presentations throughout the community on the New Mexico Medicaid Program
Meet with groups or individuals and provide accurate Medicaid program information
Assist potential and existing New Mexico Medicaid beneficiaries with enrollment and eligibility assistance
Process eligibility applications and determine program eligibility
Enter eligibility information into web-based computer systems and reference NM-specific databases
Follow up with beneficiaries through correspondence
Perform file updates and assess service/information
Support the research process unit for the state-based exchange
Review documentation and apply NM Medicaid regulations and guidelines
Run automated eligibility rules and prepare correspondence for missing information
Make outbound calls to obtain, clarify, or validate information
Serve as a subject matter expert on processing systems
Maintain an error rate of 5% or below
Assist in the call center when needed
Work independently on projects
Assist and train new staff when needed
Maintain good attendance and punctuality
Adhere to policy and procedure changes
Provide clear, complete, accurate, and objective program information
Build relationships with the community and advocacy groups
Report directly to the Outreach Supervisor

Requirements

What you’ll need

Must be 18 years of age or older
High School Diploma or equivalent education required
Must be able to submit to pre-employment screening
Legal authorization to work permanently in the United States without requiring visa transfer or sponsorship
Prior clerical/customer service work experience
Comfortable working within established processes and procedures
Strong communication and customer service skills
Reliable attendance and strong work ethic
Strong customer service, communication, and problem-solving skills
Experience handling escalated customer concerns and complex issues
Ability to communicate clearly and confidently
Ability to multi-task and manage time effectively
Attention to detail, grammar, and spelling accuracy
Computer system experience with data entry and database documentation knowledge

Benefits

Comp & perks

Benefits from day one (medical, dental, vision) for eligible roles
PerkSpot employee discount program
Paid time off and holidays
Paid training
Equipment provided
Career growth and advancement opportunities
Supportive and inclusive work environment
No weekend work
Bi-weekly pay
Retirement savings plan
Life and disability insurance
Voluntary dental and vision programs
Potential bonus or incentive based on business need