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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicaid enrollment processes and eligibility determination while providing exceptional customer service and support. Proficient in data entry and maintaining accurate records within web-based systems.
Highest-signal resume keywords
Medicaid Program KnowledgeEligibility ProcessingCustomer Service SkillsData Entry ExperienceCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Eligibility DeterminationData EntryDatabase DocumentationAutomated Eligibility RulesFile Updates
Soft Skills
Problem-Solving SkillsAttention to DetailTime ManagementStrong Work EthicReliable Attendance
Tools & Technologies
Web-Based Computer SystemsElectronic Portal Work
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
New Mexico MedicaidEnrollment AssistanceCustomer ExperienceClerical WorkCommunity Engagement
About the role
Key responsibilities & impact- Conduct presentations throughout the community on the New Mexico Medicaid Program
- Meet with groups or individuals to provide accurate Medicaid 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 needs
- Resolve inquiries and deliver positive customer experiences while meeting performance goals
- Support the SBE research process unit and serve as a seasoned processor/subject matter expert on processing systems
- Review documentation, run automated eligibility rules, prepare correspondence for missing information, and make outbound calls to obtain, clarify, or validate information
- Process applications while maintaining an error rate of 5% or below
- Assist and train new staff and assist in the call center when needed
- Maintain attendance and punctuality and work independently on projects
- Follow policy and procedure changes and build relationships with the community and advocacy groups
- Provide administrative support through data entry, scanning, mail sorting, electronic portal work, media conversion, and content storage and retrieval
- Occasionally go into the office if needed
Requirements
What you’ll need- Must be 18 years of age or older
- High School Diploma or an equivalent of education required
- Must be able to submit to pre-employment screening
- Legal authorization to work permanently in the United States without requiring a visa transfer or visa 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
- Bi-weekly pay
- Life and disability insurance
- Retirement savings plan
- Bonus or incentive may be available based on business need
