Eligibility – Coordinator 2


DEPARTMENT

Medicaid Support Contract


POSITION SUMMARY

40 positions located in Shreveport, Monroe, Alexandria, Lake Charles, Lafayette, Baton Rouge, Thibodaux & New Orleans


RESPONSIBILITIES

• Process Medicaid applications and annual/periodic renewals up to the final decision. • Clear issues and discrepancies in Application Management to assist with the processing of Applications and Renewals. • Review data systems to obtain required information and verification needed to establish eligibility. • Establish and maintain controls to ensure certifications are completed within required deadlines. • Document eligibility research electronically in the required Medicaid system applications and research third party data systems to assist in making accurate eligibility determinations • Prepare eligibility decision notices by inputting required data into the corresponding Medicaid application systems. • Maintain knowledge of Medicaid policies and procedures and ensure that any new changes, updates or clearances are applied accordingly. • Maintain knowledge and usage of all verification systems the agency has access to. • Review requests from newly eligible recipients for retroactive reimbursements for paid medical expenses and ensure that requests are forwarded to the correct unit for reimbursement processing. • Interpret and apply complex federal, state, and agency policy. Employ rudimentary knowledge and terminology of legal, medical and business areas, including real estate and insurance. • Correspond with current enrollees and prospective applicants regarding eligibility requirements, available programs, location of Application Centers, etc. Conduct interviews with applicants/recipients and determine Medicaid eligibility on "roll-down" applications received from the Department of Children & Family Services (DCFS). Respond to callers and visitors questions and provide quality customer service. • Manage caseloads after certification, including completing required interim changes into computer system and responding to requests from applicants/enrollees, state officials, and other agencies regarding Medicaid-related information. Counsel applicants/recipients regarding Medicaid covered services and other available resources and refers them to other governmental agencies or community programs/resources as appropriate. • Attend and participate in required meetings and trainings. • Assist supervisors with the review of other eligibility employees' work to ensure that work is completed per the required guidelines. • Assist supervisors with training and providing support to new and other staff in the office. • Other tasks as directed.


REQUIRED QUALIFICATIONS

• Bachelor's degree or 6 years of professional work experience in lieu of degree. • Excellent analytical skills, effective organizational and time management skills. • Great attention to detail and follow up, and verbal/written communications skills. • Minimum 1 year of professional experience working Medicaid/CHIP eligibility cases.


DESIRED QUALIFICATIONS

Fluent in Spanish, Portuguese, and/or Vietnamese


SALARY

Starts at $28,236


DATE POSTED

06/15/2017


CLOSING DATE

Position will remain open until filled.


POSITION NUMBER

9662

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Important Notice

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.