Eligibility – Coordinator 2


Medicaid Support Contract


40 positions located in Shreveport, Monroe, Alexandria, Lake Charles, Lafayette, Baton Rouge, Thibodaux & New Orleans


• Process Medicaid applications and annual/periodic renewals up to the final decision. • Clear issues and discrepancies in Application Management to assist with the processing of Applications and Renewals. • Review data systems to obtain required information and verification needed to establish eligibility. • Establish and maintain controls to ensure certifications are completed within required deadlines. • Document eligibility research electronically in the required Medicaid system applications and research third party data systems to assist in making accurate eligibility determinations • Prepare eligibility decision notices by inputting required data into the corresponding Medicaid application systems. • Maintain knowledge of Medicaid policies and procedures and ensure that any new changes, updates or clearances are applied accordingly. • Maintain knowledge and usage of all verification systems the agency has access to. • Review requests from newly eligible recipients for retroactive reimbursements for paid medical expenses and ensure that requests are forwarded to the correct unit for reimbursement processing. • Interpret and apply complex federal, state, and agency policy. Employ rudimentary knowledge and terminology of legal, medical and business areas, including real estate and insurance. • Correspond with current enrollees and prospective applicants regarding eligibility requirements, available programs, location of Application Centers, etc. Conduct interviews with applicants/recipients and determine Medicaid eligibility on "roll-down" applications received from the Department of Children & Family Services (DCFS). Respond to callers and visitors questions and provide quality customer service. • Manage caseloads after certification, including completing required interim changes into computer system and responding to requests from applicants/enrollees, state officials, and other agencies regarding Medicaid-related information. Counsel applicants/recipients regarding Medicaid covered services and other available resources and refers them to other governmental agencies or community programs/resources as appropriate. • Attend and participate in required meetings and trainings. • Assist supervisors with the review of other eligibility employees' work to ensure that work is completed per the required guidelines. • Assist supervisors with training and providing support to new and other staff in the office. • Other tasks as directed.


• Bachelor's degree or 6 years of professional work experience in lieu of degree. • Excellent analytical skills, effective organizational and time management skills. • Great attention to detail and follow up, and verbal/written communications skills. • Minimum 1 year of professional experience working Medicaid/CHIP eligibility cases.


Fluent in Spanish, Portuguese, and/or Vietnamese


Starts at $28,236




Position will remain open until filled.




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