Eligibility – Coordinator 1

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


POSITION #s: 9511-9657

DEPARTMENT: Medicaid Support Contract – Eligibility Support

CORE RESPONSIBILITIES:
• 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 caller's and visitor's 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.
• Other tasks as directed.

REQUIRED QUALIFICATIONS:
• 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.

DESIRED QUALIFICATIONS:
• Fluent in Spanish, Portuguese, and/or Vietnamese.

SALARY: Starting at $26,390

APPLICATION PROCEDURE: Applicants should submit a cover letter and resume (including salary requirement) to Kit at UNOMedicaidSupport@LA.gov with the job title in the email subject line.

CLOSING DATE: Position will remain open until filled. To assure full consideration, applications should be received by June 14, 2016.

All applicants will be considered for employment without regard to retirement status and without regard to an applicant's having previously accused the UL System Board or any of its universities of unlawful discrimination. Retirement status shall not be considered in the hiring process by any University in the UL System.
The University of New Orleans is an Affirmative Action/Equal Employment Opportunity employer. Women, ethnic minorities, veterans and persons with disabilities are encouraged to apply.