Medicaid Call Center – Coordinator 1

University of New Orleans; Baton Rouge, Northern (LA, KY); Hybrid; USD 45,000 - 55,000; Full time

Job summary

University of New Orleans seeks a dedicated provider relations specialist to handle inbound calls and deliver accurate information on Louisiana Medicaid programs, including LaCHIP enrollment and renewals. You will work within LaMEDS to process applications, determine eligibility, and handle case changes with attention to detail.

You will collaborate with Medicaid partners, participate in outreach, and use systems like CICS, CAJUN, TouchPoint, and CosmoCorder to ensure timely, quality service.

Qualifications

• Bachelor’s degree, or Associate’s degree with 3 years professional experience, or 6 years professional experience in lieu of the degree.
• Excellent analytical skills, effective organizational and time management skills.
• Great attention to detail and follow up.
• Ability to manage projects, assignments, and competing priorities.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.

Responsibilities

• Receive inbound calls and provide information relative to Medicaid programs and/or rendering real-time Medicaid eligibility determinations.
• Help promote and facilitate enrollment and retention in LaCHIP and Medicaid programs through the statewide MSD.
• Maintain knowledge of all Medicaid programs, policy and procedures, and eligibility systems to communicate policy and eligibility.
• Research person/case level records in LaMEDS, complete Medicaid applications and renewals, provide case status and program coverage information, and process changes.
• Collaborate with Medicaid partners to ensure timely and appropriate services for members, potential members, and providers.
• Operate ancillary software and hardware (CICS, CAJUN, TouchPoint, CosmoCorder) to support service delivery.
• Participate in outreach efforts and emergency preparedness or response activities.

Skills

Analytical skills

Time management

Attention to detail

Project management

Microsoft Office

Education

Bachelor's degree

Associate degree + 3 years experience

6 years experience in lieu of degree

Tools

LaMEDS

CICS

CAJUN

TouchPoint

CosmoCorder

Job description

## **Job Summary**## ## **Job Description*** Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility determinations within Medicaid's Contact Service Unit (CSU), Member Services Division (MSD).* Helps promote and facilitate enrollment and retention in the Louisiana Children's Health Insurance Program (LaCHIP) and Medicaid programs through the statewide MSD.* Maintains knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary systems in order to accurately and effectively communicate Medicaid policy and eligibility with members, potential members, and providers.* Works within the Louisiana Medicaid Eligibility Determination System (LaMEDS) to: research person or case level records, complete Medicaid applications, complete Medicaid renewals, provide information on case status and Medicaid program coverage, complete requests for duplicate cards, complete requests for case changes such as changes to demographic information and income, add or remove case members, read and interpret case notes and notices etc.* May execute outbound outreach campaigns which may focus on certain populations, programs, or eligibility activities.* Collaborates with Medicaid partners to ensure that members, potential members, and providers receive the timely and appropriate services needed.* Works within ancillary software and hardware including CICS, CAJUN, TouchPoint, CosmoCorder, etc. to ensure that members, potential members, and providers receive the timely and appropriate services needed.* Helps identify any other resources needed by a member and assisting the member with access or contact information to same.* Participates in outreach efforts and emergency preparedness or response activities as directed.* Other tasks as assigned.**QUALIFICATIONS** **REQUIRED:*** Bachelor’s Degree, or Associates degree with 3 years professional experience, or 6 years professional experience in lieu of the degree.* Excellent analytical skills, effective organizational and time management skills.* Great attention to detail and follow up.* Ability to manage projects, assignments, and competing priorities.* Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel.**DESIRED:*** Advanced degree.* Minimum 1 year professional experience with customer service and/or call centers.* Minimum 1 year professional experience with Medicaid programs, policy, and procedures.* Minimum 1 year professional experience with LaMEDS.* Relevant industry certifications.SALARY: 45-55k**Required Attachments** Please upload the following documents in the Resume/Cover Letter section.* Detailed resume listing relevant qualifications and experience;* Cover Letter indicating why you are a good fit for the position and LSU New Orleans;* Names and contact information of three references; Applications that do not include the required uploaded documents may not be considered.## Posting Close DateThis position will remain open until filled. Note to Applicant: Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.References will be contacted at the appropriate phase of the recruitment process.This position may require a criminal background check to be conducted on the candidate(s) selected for hire.As part of the hiring process, applicants for positions at LSU New Orleans may be required to demonstrate the ability to perform job-related tasks. LSU New Orleans seeks to recruit a highly productive workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.