University of New Orleans

TPL & Coordination of Benefits Analyst

Baton Rouge, La · Staff+

Sponsorship not specified$60k-$70kDetected 30 days ago

Financial AnalysisCommunicationTime ManagementFinancial Reporting

About the role

Investigates billing and payment issues including but not limited to denied claims for members with other primary insurance sources.
Assists with matters related to Third Party Liability (TPL) and Medicare billing.
This includes proactively researching and staying up-to-date on any CMS mandated changes for TPL and Medicare billing that would impact Louisiana Medicaid.

Updates the State's federally mandated Third Party Liability Action Plan as necessary to maintain currency of Louisiana Medicaid COB/TPL practices.
Please upload the following documents in the Resume/Cover Letter section.

Bachelor's degree or 6 years' professional experience in lieu of degree.
Minimum 2 years of professional experience working with Medicare and/or private insurance claims.
Strong verbal and written communications skills and ability to communicate technical concepts to technical and nontechnical audiences.
Advanced degree.
Minimum 3 years of professional experience Medicare and/or private insurance claims.
Minimum 1 year of professional experience monitoring contracts for deliverable compliance.
The required information is listed below in the job posting.
You must complete all required portions of the application and attach the required documents in order to be considered for employment.
Cover Letter indicating why you are a good fit for the position and University of Louisiana Systems;
Required Attachments
Excellent analytical, organizational, communication and time management skills.
Great attention to detail and follow up.
Professional experience in healthcare billing.
CPT, ICD 10 coding and HCPCS knowledge.
SALARY: 60-70k

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.
The University of New Orleans seeks to recruit a highly productive workforce and will provide equal employment opportunities to all employees and prospective employees.
Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.

Responds to provider, health plan, and member phone calls and correspondence related to the coordination of benefits between Medicaid and other primary insurance sources.
Assists with the creation and maintaining of Health Plan Advisories and Informational Bulletins published by LDH related to TPL and Medicare billing.

This listing is sourced directly from University of New Orleans's careers page and normalized into a canonical job model.