Medicaid Appeals Coordinator

LSU New Orleans; New Orleans (LA); On-site; USD 43,000 - 53,000; Full time

Job summary

LSU New Orleans seeks an Eligibility Support specialist to review, analyze, and investigate Medicaid appeals, ensuring actions align with policy and available data. You will draft memoranda, assemble evidence summaries, and prepare agency reversals or withdrawals as needed.

The role requires strong analytical capabilities, detail orientation, and excellent communication. You will upload documents to electronic records, coordinate with reviewers, and attend hearings as required.

Qualifications

• Requires a Bachelor’s degree or an Associate’s degree plus three years of professional experience or six years of professional experience in lieu of degree.
• Excellent analytical, organizational and time-management skills with strong attention to detail.
• Verbal and written communication skills; ability to work both independently and in a team.
• Proficient in Adobe Acrobat Pro and Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).

Responsibilities

• Review, analyze, and investigate assigned appeals to determine policy compliance.
• Draft and assemble documents including appeals memoranda, summaries of evidence, and agency reversals.
• Notify staff and appellants via emails and letters; ensure documentation is uploaded to Electronic Case Records and SharePoint.
• Monitor cases for corrective actions and communicate required steps to field staff.
• Attend hearings and cover for absent employees; stay current with Medicaid policies and procedures.

Skills

Analytical skills

Organizational skills

Time management

Verbal/written communication

Teamwork

Deadline management

Independent work

Education

Bachelor's degree

Associate's degree + 3 years experience

Six years professional experience in lieu of degree

Tools

Adobe Acrobat Pro

Microsoft Office Suite

Job description

LSU New Orleans seeks an Eligibility Support specialist to review, analyze, and investigate Medicaid appeals, ensuring actions align with policy and available data. You will draft memoranda, assemble evidence summaries, and prepare agency reversals or withdrawals as needed.

The role requires strong analytical capabilities, detail orientation, and excellent communication. You will upload documents to electronic records, coordinate with reviewers, and attend hearings as required.