MES Patient Access & Interoperability - Coordinator 1

University of New Orleans; United States; On-site; USD 40,000 - 50,000; Full time

Job summary

LSU New Orleans seeks a Medicaid Support specialist to handle calls and assist recipients with access to third‑party applications for Medicaid information.

The role involves reviewing documentation for accuracy, escalating API issues to Gainwell Technologies, and supporting the Interoperability Interface team with additional duties and projects.

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 Microsoft Office (Outlook, Word, Excel).

Responsibilities

• Answer and return calls from the Patient Access and Interoperability queue of the ACD hotline.
• Investigate, document and report 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.
• Review all member-facing documentation and webpages for accuracy in reporting Patient Access and Interoperability member education materials.
• Consult with the API custodian (Gainwell Technologies) and escalate technical issues to their 2nd Tier Call Center.
• Assist the Interoperability Interface team as needed.
• Assist higher level Managers with special projects and/or other duties as assigned.

Skills

Attention to detail

Communication skills

Project management

Microsoft Office

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Department Medicaid Support

Responsibilities

• Answer and return calls from the Patient Access and Interoperability queue of the Automatic Call Distribution (ACD) hotline.
• Investigate, document and report 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.
• Review all member-facing documentation and webpages for accuracy in reporting Patient Access and Interoperability member education materials.
• Consult with the Application Programming Interface (API)’s custodian (Gainwell Technologies) and adequately escalates technical issues to their 2nd Tier Call Center.
• Assist the Interoperability Interface team as needed.
• Assist 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 Qualifications

• 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

Required Attachments

• Detailed resume listing relevant qualifications and experience.
• Cover Letter indicating why you are a good fit for the position and LSU New Orleans.
• Names and contact information of three references.

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.

Equal Employment Opportunity

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.