University of New Orleans
Premium Assistance - Coordinator 2
University of New Orleans, Baton Rouge, Louisiana, United States, 70801
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 directed. Required Qualifications:
Bachelor's Degree or 6 years' professional work experience in lieu of degree. Minimum one year of Medicaid Eligibility C and D-related policy and procedural experience. Minimum one year of experience with MMIS mainframe system and LaMEDS system. Excellent analytical skills, effective organizational and time management skills. Great attention to detail and follow up. Ability to manage projects, assignments, and competing priorities. Ability to work independently and excellent problem-solving skills. Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel. Desired Qualifications:
Advanced degree Minimum two years of Medicaid Eligibility C and D-related policy and procedural experience. Minimum two years of experience with MMIS mainframe system and LaMEDS system. Minimum two years of experience with Medicare (Part A and B) and the Social Security Administration (SSA). Minimum two years of experience with facilitating/oversight of premium billing/collections or the state Medicaid Buy-In program. Required Attachments:
Please upload the following documents in the Resume/Cover Letter section: Detailed resume listing relevant qualifications and experience; Cover Letter indicating why you are a good fit for the position and University of Louisiana Systems; Names and contact information of three references; Applications that do not include the required uploaded documents may not be considered. Posting Close Date:
This position will remain open until filled. Note to Applicant: 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. This position may require a criminal background check to be conducted on the candidate(s) selected for hire. As part of the hiring process, applicants for positions at the University of New Orleans may be required to demonstrate the ability to perform job-related tasks. 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.
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 directed. Required Qualifications:
Bachelor's Degree or 6 years' professional work experience in lieu of degree. Minimum one year of Medicaid Eligibility C and D-related policy and procedural experience. Minimum one year of experience with MMIS mainframe system and LaMEDS system. Excellent analytical skills, effective organizational and time management skills. Great attention to detail and follow up. Ability to manage projects, assignments, and competing priorities. Ability to work independently and excellent problem-solving skills. Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel. Desired Qualifications:
Advanced degree Minimum two years of Medicaid Eligibility C and D-related policy and procedural experience. Minimum two years of experience with MMIS mainframe system and LaMEDS system. Minimum two years of experience with Medicare (Part A and B) and the Social Security Administration (SSA). Minimum two years of experience with facilitating/oversight of premium billing/collections or the state Medicaid Buy-In program. Required Attachments:
Please upload the following documents in the Resume/Cover Letter section: Detailed resume listing relevant qualifications and experience; Cover Letter indicating why you are a good fit for the position and University of Louisiana Systems; Names and contact information of three references; Applications that do not include the required uploaded documents may not be considered. Posting Close Date:
This position will remain open until filled. Note to Applicant: 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. This position may require a criminal background check to be conducted on the candidate(s) selected for hire. As part of the hiring process, applicants for positions at the University of New Orleans may be required to demonstrate the ability to perform job-related tasks. 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.