MES Patient Access & Interoperability - Coordinator 1

LSU New Orleans; New Orleans (LA); On-site; USD 40,000 - 50,000; Full time

Job summary

LSU New Orleans is seeking a qualified candidate for a Department Medicaid Support role focused on handling the Patient Access and Interoperability queue, investigating and documenting claim issues, and guiding recipients to compatible third-party apps.

The role requires strong communication, attention to detail, and proficiency with Microsoft Office. Candidates should be prepared to escalate technical issues to Gainwell’s API custodian and support program-wide initiatives.

Qualifications

• Bachelor’s degree or 6 years professional experience in lieu of the degree.
• Excellent written and verbal communication; strong attention to detail and follow-up.
• Proficient in Microsoft Office (Outlook, Word, Excel) and ability to manage multiple priorities.

Responsibilities

• Answer and return calls from the Patient Access and Interoperability queue.
• Investigate, document, and report claim issues and discrepancies for members.
• Assist recipients with accessing third-party applications sharing Louisiana Medicaid recipient information.
• Review member-facing documentation and webpages for accuracy in reporting education materials.
• Consult API custodian (Gainwell Technologies) and escalate technical issues to 2nd Tier Call Center.
• Assist the Interoperability Interface team as needed.
• Support senior managers with special projects and other duties.

Skills

Attention to detail

Communication skills

Project management

Microsoft Office

Education

Bachelor's degree

6 years professional experience in lieu of degree

Advanced degree

Job description

Department Medicaid Support

Job Summary

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

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

SALARY: 40-50k

Posting Close Date

This position will remain open until filled.

Additional Information

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.