Medicaid Call Center - Coordinator 1

Job Duties and Other Information

Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility determinations within Medicaid's Contact Service Unit (CSU), Member Services Division (MSD).

Helps promote and facilitate enrollment and retention in the Louisiana Children's Health Insurance Program (LaCHIP) and Medicaid programs through the statewide MSD.

Maintains knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary systems in order to accurately and effectively communicate Medicaid policy and eligibility with members, potential members, and providers.

Works within the Louisiana Medicaid Eligibility Determination System (LaMEDS) to: research person or case level records, complete Medicaid applications, complete Medicaid renewals, provide information on case status and Medicaid program coverage, complete requests for duplicate cards, complete requests for case changes such as changes to demographic information and income, add or remove case members, read and interpret case notes and notices etc.

May execute outbound outreach campaigns which may focus on certain populations, programs, or eligibility activities.

Collaborates with Medicaid partners to ensure that members, potential members, and providers receive the timely and appropriate services needed.

Works within ancillary software and hardware including CICS, CAJUN, TouchPoint, CosmoCorder, etc. to ensure that members, potential members, and providers receive the timely and appropriate services needed.

Helps identify any other resources needed by a member and assisting the member with access or contact information to same.

Participates in outreach efforts and emergency preparedness or response activities as directed.

Other tasks as assigned.

Qualifications Required:

• Bachelor's Degree, or Associates degree with 3 years professional experience, or 6 years professional experience in lieu of the degree.
• Excellent analytical skills, effective organizational and time management skills.
• Great attention to detail and follow up.
• Ability to manage projects, assignments, and competing priorities.
• Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel.

Desired:

• Advanced degree.
• Minimum 1 year professional experience with customer service and/or call centers.
• Minimum 1 year professional experience with Medicaid programs, policy, and procedures.
• Minimum 1 year professional experience with LaMEDS.
• Relevant industry certifications.