Medicaid Appeals & Data Coordination Specialist

ulsuno; Baton Rouge (LA); On-site; USD 36,000 - 46,000; Full time

Job summary

LSU New Orleans is seeking an Eligibility Support professional to process Medicaid correspondence, manage EDMS entries, and upload appeals documentation. The role requires attention to detail and strong communication within a health-care administration setting.

You will work with Medicaid Analysts, maintain case notes, and help clear the weekly DAL docket. This position emphasizes organizational skills and team collaboration in a fast-paced environment.

Qualifications

• Bachelor's degree or an Associate's degree with 3 years of professional experience, or 6 years of professional experience in lieu of degree.
• Minimum 1 year professional experience performing administrative functions in an office or health care setting.
• Excellent analytical and time management skills.
• Great attention to detail and follow up.

Responsibilities

• Process Medicaid correspondence via USPS, fax, or designated Medicaid email boxes.
• Scan and associate metadata into the EDMS.
• Upload appeals documentation and link to client cases in LaMEDS.
• Enter descriptive case notes into the EDMS based on documentation.
• Notify Medicaid Analysts and CAU staff of required actions.
• Communicate issues to supervisor in writing and verbally.
• Receive and use email communications to update the Master Chart.
• May attend DAL Hearings and complete untimely appeal packets.
• Clear the Weekly DAL Docket and communicate with DAL to resolve docket issues.
• Perform other tasks as directed.

Skills

Analytical skills

Time management

Attention to detail

Communication skills

Team player

Education

Bachelor's degree

Associate's degree

Tools

EDMS

SharePoint

LaMEDS

Job description

LSU New Orleans is seeking an Eligibility Support professional to process Medicaid correspondence, manage EDMS entries, and upload appeals documentation. The role requires attention to detail and strong communication within a health-care administration setting.

You will work with Medicaid Analysts, maintain case notes, and help clear the weekly DAL docket. This position emphasizes organizational skills and team collaboration in a fast-paced environment.