U

University of New Orleans

Medicaid Call Center Coordinator 1

Customer SupportUpdated on Nov 14
Full-timeBaton Rouge, LA, USA$45k - $55kIn-person

About the Job

Requirements

  • A bachelor's degree, or an associate degree with three years of professional experience, or six years of professional experience in lieu of a degree.
  • Strong analytical skills, organizational and time-management skills, and attention to detail and follow-up.
  • Ability to manage projects, assignments, and competing priorities.
  • Proficiency with Microsoft Office, including Outlook, Word, and Excel.

Responsibilities

  • Receive inbound calls and provide information about Medicaid programs and/or make real-time Medicaid eligibility determinations within the Contact Service Unit and Member Services Division.
  • Promote and facilitate enrollment and retention in the Louisiana Children's Health Insurance Program and Medicaid programs through the statewide Member Services Division.
  • Maintain knowledge of Medicaid programs, policies, procedures, eligibility, and ancillary systems to accurately communicate policy and eligibility to members, potential members, and providers.
  • Use the Louisiana Medicaid Eligibility Determination System to research person- or case-level records; complete Medicaid applications and renewals; provide case-status and program-coverage information; process duplicate-card and case-change requests, including demographic and income changes; add or remove case members; and interpret case notes and notices.
  • Conduct outbound outreach campaigns that may focus on specific populations, programs, or eligibility activities.
  • Collaborate with Medicaid partners to ensure members, potential members, and providers receive timely and appropriate services.
  • Use ancillary software and hardware, including CICS, CAJUN, TouchPoint, and CosmoCorder, to support timely and appropriate services for members, potential members, and providers.
  • Identify other resources needed by members and assist them with access or contact information.
  • Participate in outreach and emergency preparedness or response activities as directed.
  • Perform other tasks as assigned.

Desired Qualifications

  • An advanced degree.
  • At least one year of professional experience in customer service and/or call centers.
  • At least one year of professional experience with Medicaid programs, policies, and procedures.
  • At least one year of professional experience with LaMEDS.
  • Relevant industry certifications.

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