Medicaid Eligibility Specialist

State of Louisiana; Lake Charles (LA); On-site; USD 23,000 - 29,000; Full time

Job summary

The Louisiana Department of Health is seeking a Medicaid Analyst to acquire extensive knowledge of Medicaid policy and procedures and to determine eligibility for health insurance for members and applicants. This role involves working with applications received electronically, by mail, email, in person, or by phone, in a call-center style environment.

The ideal candidate will be detail-oriented, capable of handling high call volumes, and demonstrate excellent customer service, teamwork, and

Qualifications

• Three years of social services experience; OR Six years of full-time experience in any field; OR A bachelor's degree.

Responsibilities

• Learn Medicaid policy and procedures and determine eligibility.
• Interact with members by phone, mail, or electronic submissions.
• Process applications and verify eligibility with relevant documents.
• Perform interviews and collateral contacts for verification of information.
• Apply federal and state policies to determine benefits and eligibility.
• Assist in fraud investigations and refer potential cases to appropriate agencies.

Skills

Customer service

Communication

Attention to deadlines

Team player

Call center experience

High call volumes

Education

Bachelor's degree

Social services experience

Six years of full-time experience

Job description

The Louisiana Department of Health is seeking a Medicaid Analyst to acquire extensive knowledge of Medicaid policy and procedures and to determine eligibility for health insurance for members and applicants. This role involves working with applications received electronically, by mail, email, in person, or by phone, in a call-center style environment.

The ideal candidate will be detail-oriented, capable of handling high call volumes, and demonstrate excellent customer service, teamwork, and