Premium Assistance - Coordinator 2

University of New Orleans•Baton Rouge, LA

9d•$50,000 - $60,000

About The Position

This position 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. The role involves being the primary point of contact for inquiries, resolving escalated issues, and monitoring system reliability and accuracy. The position also participates in system changes, assists with trend analysis, coordinates with technology teams, and manages electronic data exchanges with CMS. Additionally, the role provides support for training, serves as backup to higher-level coordinators, assists with expenditure projections, and supports special projects for LDH Management.

Requirements

Bachelor’s Degree or 6 years of professional work experience in lieu of a degree.
Minimum 1 year professional experience with MAGI and NON-MAGI related policies and procedures.
Minimum 1 year professional experience with the Medicaid Management Information System (MMIS) and the Louisiana Medicaid Eligibility Determination System (LaMEDS).
Demonstrates excellent analytical abilities with strong organizational and time management skills to effectively prioritize and complete tasks.
Proven ability to manage projects, assignments, and competing priorities while working independently and applying strong problem-solving skills.
Proficient in Microsoft Office Suite, including Outlook, Word, and Excel, with the ability to leverage these tools effectively for communication, documentation, and data management.

Nice To Haves

Advanced Degree.
Minimum 2 years professional experience with MAGI and NON-MAGI related policies and procedures.
Minimum 2 years professional experience with the Medicaid Management Information System (MMIS) and the Louisiana Medicaid Eligibility Determination System (LaMEDS).
Minimum 2 years professional experience with Medicare Part A and B, and the Social Security Administration (SSA).
Minimum 2 years professional experience facilitating and overseeing premium billing and collections, as well as administering the State Medicaid Buy-In program.

Responsibilities

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 assigned.