Premium Assistance - Coordinator 2

ulsuno; Baton Rouge (LA); On-site; USD 50,000 - 60,000; Full time

Job summary

LSU New Orleans seeks a subject matter expert for Medicaid billing and premium collections (LAP, FOA) and Medicare Buy-In payments. You will serve as the primary contact for LAP/FOA inquiries from members, eligibility workers, and external entities, and may step in for Program Managers as SME.

You will monitor the Buy-In system interfacing with LaMEDS, MMIS, and CMS; participate in planning, design, testing, and implementation of changes; and assist in staff training and expenditure projections

Qualifications

• Minimum 1 year professional experience with MAGI and NON-MAGI policies.
• Minimum 1 year professional experience with the Medicaid Management Information System (MMIS) and the Louisiana Medicaid Eligibility Determination System (LaMEDS).
• Demonstrates excellent analytical abilities with strong organizational and time management skills to effectively prioritize and complete tasks.
• Proven ability to manage projects, assignments, and competing priorities while working independently and applying strong problem-solving skills.
• Proficient in Microsoft Office Suite, including Outlook, Word, and Excel, with the ability to leverage these tools effectively for communication, documentation, and data management.

Responsibilities

• Serve as SME for billing/premium collections for LAP, FOA, and Buy-In programs.
• Act as primary contact for LAP and FOA inquiries from members and eligibility workers.
• Monitor Buy-In System interfacing with LaMEDS, MMIS, CMS.
• Participate in planning, design, testing, and implementation of changes.
• Assist with training new staff and act as backup to Coordinators/Managers.
• Provide program expenditure projections to LDH management.

Skills

Analytical abilities

Time management

Project management

Communication skills

Education

Bachelor's degree or 6 years of professional work experience in lieu of a degree

Tools

Microsoft Office Suite

Outlook

Word

Excel

Job description

Department

Medicaid Support

Job Description

Serves as a subject matter expert (SME) for billing/premium collections for the LaCHIP Affordable Plan (LAP) and FOA programs, as well as for Medicare premium payments made for the Buy-In program, and may stand-in for the Program Managers as SME for various projects.

Serves as the primary point of contact for LAP and FOA inquiries received by members, eligibility workers, and external entities; and, may work to resolve escalated issues, alongside and/or independent of team lead (i.e. Coordinator 3) and/or Program Managers.

Monitors and ensures the reliability and accuracy of the Buy-In System as it interfaces with the Louisiana Medicaid Eligibility Data System (LaMEDS), Medicaid Management Information System (MMIS) maintained by the Fiscal Intermediary, and CMS.

Participates in planning, development, design, testing, and implementation of changes and/or new specifications to the related systems.

Assists with monitoring, identifying, and reporting changes in trends to team lead/Program Managers to identify potential system issues and impacts.

Coordinates with Medicaid's Technology teams and others to identify system issues and work towards resolution; coordinates with team lead (i.e. Coordinator 3) and/or Program Managers in these efforts.

Submits additions and deletions to the Buy-In file and notifies CMS of any changes to the individual's Buy-In status through a daily, weekly, and/or monthly electronic data exchange.

Assists Coordinator 3 and/or Program Managers with training of new staff, as needed.

Serve as back up to the Coordinator 3 and/or Program Managers, as needed.

Assists in providing program expenditure projections as needed by LDH Management.

Assists LDH upper management with special projects and/or other duties, as assigned.

Other tasks as assigned.

QUALIFICATIONS

REQUIRED

• Bachelor's Degree or 6 years of professional work experience in lieu of a degree.
• Minimum 1 year professional experience with MAGI and NON-MAGI related policies and procedures.
• Minimum 1 year professional experience with the Medicaid Management Information System (MMIS) and the Louisiana Medicaid Eligibility Determination System (LaMEDS).
• Demonstrates excellent analytical abilities with strong organizational and time management skills to effectively prioritize and complete tasks.
• Proven ability to manage projects, assignments, and competing priorities while working independently and applying strong problem-solving skills.
• Proficient in Microsoft Office Suite, including Outlook, Word, and Excel, with the ability to leverage these tools effectively for communication, documentation, and data management.

DESIRED

• Advanced Degree.
• Minimum 2 years professional experience with MAGI and NON-MAGI related policies and procedures.
• Minimum 2 years professional experience with the Medicaid Management Information System (MMIS) and the Louisiana Medicaid Eligibility Determination System (LaMEDS).
• Minimum 2 years professional experience with Medicare Part A and B, and the Social Security Administration (SSA).
• Minimum 2 years professional experience facilitating and overseeing premium billing and collections, as well as administering the State Medicaid Buy-In program.

SALARY: 50-60k

Posting Close Date

This position will remain open until filled.

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,