MES Patient Access & Interoperability - Coordinator 1

University of New Orleans; Baton Rouge (LA); On-site; USD 40,000 - 50,000; Full time

Job summary

LSU New Orleans is seeking a qualified candidate for a role in Medicaid Support. The position handles calls, investigates claim issues, and assists with accessing third party applications related to Louisiana Medicaid, with emphasis on accuracy and timely follow-up.

The ideal candidate holds a Bachelor’s degree or 6 years of relevant experience, demonstrates strong communication, and is proficient with Microsoft Office. Salary ranges from $40,000 to $50,000 annually.

Qualifications

• Bachelor’s Degree or 6 years professional experience in lieu of the degree.
• Great attention to detail and follow up.
• Excellent written and verbal communication skills
• Ability to manage projects, assignments, and competing priorities.
• Proficient in the use of Microsoft Office, including Outlook, Word, and Excel.

Responsibilities

• Answering and returning calls from the Patient Access and Interoperability queue of the ACD hotline.
• Investigate, document and report claim issues and discrepancies reported by members.
• Assist recipients with third party applications to share Medicaid recipient information.
• Review member-facing documentation and webpages for accuracy in reporting education materials.
• Consult with API custodian and escalate technical issues to 2nd Tier Call Center.
• Assist the Interoperability Interface team as needed.
• Assist higher level Managers with special projects and other duties as assigned.

Skills

Attention to detail

Written communication

Verbal communication

Project management

MS Office

Education

Bachelor's Degree or 6 years professional experience

Tools

Microsoft Office

Job description

Thank you for your interest in LSU New Orleans.

Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting.

You must complete all required portions of the application and attach the required documents in order to be considered for employment.

Department

Medicaid Support

Job Summary

Job Description

• Responsible for answering and returning calls from the Patient Access and Interoperability queue of the Automatic Call Distribution (ACD) hotline.
• Responsible for the investigation, documentation and reporting of claim issues and/or discrepancies reported by members utilizing the Patient Access and Interoperability platform.
• Assist recipients with accessing third party applications authorized to share Louisiana Medicaid recipient information.
• Reviews all member-facing documentation and webpages for accuracy in reporting Patient Access and Interoperability member education materials.
• Consults with the Application Programming Interface (API)’s custodian (Gainwell Technologies) and adequately escalated technical issues to their 2nd Tier Call Center.
• Assists the Interoperability Interface team as needed.
• Assists higher level Managers with special projects and/or other duties as assigned.

QUALIFICATIONS
REQUIRED:

• Bachelor’s Degree or 6 years professional experience in lieu of the degree.

• Great attention to detail and follow up.

• Excellent written and verbal communication skills

• 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 one year of professional experience with Medicaid eligibility.
• Minimum one year of professional experience with the MMIS mainframe system.
• Minimum two years of professional experience with Customer Service Call Center.
• Minimum two years of professional experience with Medicaid or private health insurance claim processing.

SALARY: 40-50k

Posting Close Date

This 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.