Medicaid Call Center - Coordinator 1

LSU New Orleans; New Orleans (LA); On-site; USD 45,000 - 55,000; Full time

Job summary

LSU New Orleans seeks a qualified individual to join the Department Medicaid Call Center to provide information on Medicaid programs and perform real-time eligibility determinations within the CSU, MSD. You will support enrollment and retention in LaCHIP and Medicaid and navigate LaMEDS and related systems to help members and providers access services.

The role requires a Bachelor’s or Associate’s degree with relevant experience and strong analytical, organizational, and communication skills.

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, organizational and time management skills.
• Great attention to detail and follow up.
• Ability to manage projects, assignments, and competing priorities.
• Proficient in Microsoft Office (Outlook, Word, Excel).

Responsibilities

• Receive all inbound calls and provide information on Medicaid programs.
• Assist with real-time Medicaid eligibility determinations in CSU/MSD.
• Promote enrollment and retention in LaCHIP and Medicaid statewide.
• Maintain knowledge of Medicaid programs, policy and procedures.
• Use LaMEDS to research records, complete applications and renewals.
• Collaborate with Medicaid partners to ensure timely services.
• Participate in outreach efforts and emergency preparedness as directed.
• May execute outbound outreach campaigns.
• Other tasks as assigned.

Skills

Analytical skills

Organizational skills

Time management

Attention to detail

Project management

Prioritization

Education

Bachelor's Degree

Associate's degree + 3 years experience

6 years professional experience in lieu of the degree

Tools

Microsoft Office

Job description

Department Medicaid Call Center

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

Posting Close Date: This position will remain open until filled.

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.