Medicaid Eligibility & Call Center Specialist

University of New Orleans; Baton Rouge (LA); 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

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.