Premium Assistance - Coordinator 2

LSU New Orleans; New Orleans (LA); On-site; USD 70,000 - 95,000; Full time

Job summary

University of New Orleans seeks an experienced program SME for billing/premium collections across LAP, FOA, and Buy-In efforts. You will serve as primary contact for inquiries and help ensure Buy-In system reliability interfacing with LaMEDS/MMIS.

You will assist with training, coordinate with Medicaid Tech teams, and support projections and special projects as needed.

Qualifications

• Bachelor’s Degree or 6 years professional experience.
• Minimum 1 year experience with MAGI and NON-MAGI policies.
• Minimum 1 year experience with MMIS and LaMEDS.
• Strong analytical, organizational, and time management skills.
• Proven ability to manage projects independently.
• Proficient in MS Office Suite (Outlook, Word, Excel).

Responsibilities

• Serve as SME for billing/premium collections for LAP, FOA, Buy-In programs.
• Primary contact for LAP/FOA inquiries from members and agencies.
• Monitor Buy-In system interfacing with LaMEDS and MMIS; report issues.
• Participate in planning, design, testing, and implementation of changes.
• Coordinate with Medicaid Tech teams to resolve system issues.
• Assist with training staff and provide backup to coordinators and PMs.
• Support program expenditure projections and special projects as needed.

Skills

MAGI policies

NON-MAGI policies

MMIS

LaMEDS

Analytical skills

Project management

MS Office

Education

Bachelor's degree or 6 years experience

Tools

MS Excel

MS Word

Outlook

Job description

Thank you for your interest in The University of 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 in order to be considered for employment.

JOB SUMMARY

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.

REQUIRED QUALIFICATIONS

• 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 QUALIFICATIONS

• 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.

POSTING CLOSE DATE

This position will remain open until filled.

NOTE TO APPLICANTS

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.

BACKGROUND CHECK

This position may require a criminal background check to be conducted on the candidate(s) selected for hire.

The University of New Orleans is an affirmative action and equal employment opportunity employer. We do not discriminate on the basis of race, gender, color, religion, national origin, disability, sexual orientation, gender identity, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.