MES Patient Access & Interoperability - Coordinator 1

University of New Orleans•Baton Rouge, LA

3d•$40,000 - $50,000

About The Position

This position is responsible for managing the Patient Access and Interoperability queue of the Automatic Call Distribution (ACD) hotline. The role involves investigating, documenting, and reporting claim issues and discrepancies reported by members. The Coordinator will also assist recipients in accessing third-party applications for Louisiana Medicaid recipient information, review member-facing documentation for accuracy, and consult with the Application Programming Interface (API)’s custodian (Gainwell Technologies) to escalate technical issues. Additionally, the role supports the Interoperability Interface team and assists higher-level Managers with special projects and other assigned duties.

Requirements

Bachelor’s Degree or 6 years professional experience in lieu of the degree.
Great attention to detail and follow up.
Excellent written and verbal communication skills.
Ability to manage projects, assignments, and competing priorities.
Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel.

Nice To Haves

Advanced degree.
Minimum one year of professional experience with Medicaid eligibility.
Minimum one year of professional experience with the MMIS mainframe system.
Minimum two years of professional experience with Customer Service Call Center.
Minimum two years of professional experience with Medicaid or private health insurance claim processing.

Responsibilities

Answering and returning calls from the Patient Access and Interoperability queue of the Automatic Call Distribution (ACD) hotline.
Investigating, documenting, and reporting claim issues and/or discrepancies reported by members utilizing the Patient Access and Interoperability platform.
Assisting recipients with accessing third party applications authorized to share Louisiana Medicaid recipient information.
Reviewing all member-facing documentation and webpages for accuracy in reporting Patient Access and Interoperability member education materials.
Consulting with the Application Programming Interface (API)’s custodian (Gainwell Technologies) and escalating technical issues to their 2nd Tier Call Center.
Assisting the Interoperability Interface team as needed.
Assisting higher level Managers with special projects and/or other duties as assigned.