MMIS Support Coordinator


DEPARTMENT

Medicaid Technical Services Contract


POSITION SUMMARY

(1 Position located in Baton Rouge)


RESPONSIBILITIES

• Serves as subject matter expert in Third-Party Liability (TPL)-related issues. • Maintains an advanced working knowledge of Medicaid policy and Eligibility policy to interpret correct billing procedures for providers. • Participates in the development and implementation of TPL policies and procedural changes. • Performs advanced research of claims to identify claims associated with accident-related diagnoses and treatments. • Performs advanced calculations to determine appropriate claims recovery amounts and processes incoming payments. • Provides ongoing operational activities for the statewide Recipient Recovery Program. • Interprets policy to identify individuals who inappropriately received state or federal benefits. • Leads processes to recover funds from recipients, TPL carriers, Estates of deceased recipients, and other parties as applicable; includes issuance of demand notices, issuance of Right of Action letters, and assisting the Bureau of Legal Service when defending LDH’s interest in legal proceedings. • Serves as LDH representative for recovery matters under appeal. • Makes recommendations for system changes required due to changing federal and/or state regulations, Medicaid policies, and other factors including system modernization efforts. • Participates in planning, development, design, testing, and implementation of changes and/or new specifications to the recovery system. • Other tasks as directed.


REQUIRED QUALIFICATIONS

• Bachelor’s degree or 6 years’ professional work experience in lieu of degree. • Minimum one year of professional work experience. • Excellent analytical skills, effective organizational and time management skills. • Great attention to detail and follow up, and verbal/written communications skills.


DESIRED QUALIFICATIONS

• Advanced degree. • Minimum one year of professional experience in healthcare field. • Knowledge of relational database structures and SQL language. • CPT, ICD‐9 or ICD‐10 coding, and HCPCS knowledge. • CHDA, HIM, RHIA, RHIT, CCA, CMA, CPA, CIA, CGAP, HFMA or other relevant industry certifications.


SALARY

Commensurate with qualifications and experience.


DATE POSTED

09/18/2017


CLOSING DATE

Position will remain open until filled. To assure full consideration, applications should be received by September 29, 2017.


POSITION NUMBER

9377

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The University of New Orleans is an Affirmative Action / Equal Employment Opportunity employer. We do not discriminate on the basis of race, gender, color, religion, national origin, disability, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.