University of New Orleans
Centralized Appeals Unit - Coordinator 1
Baton Rouge, La
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About the role
- Review, analyze, and investigate assigned appeals to determine if the proposed action taken by field staff was accurate based on policy, procedure, and information found within the various Medicaid systems.
- Forward the Summary of Evidence, reversal or withdrawal to assigned reviewer, make edits recommended by reviewer.
- Monitor the reviewed cases for corrective actions taken by field staff.
Responsibilities
- Please upload the following documents in the Resume/Cover Letter section.
Requirements
- Ability to set, follow, and meet deadlines.
- Advanced degree.
- Minimum one year of professional experience with Medicaid appeals processes and procedures.
- Minimum one year professional experience with Medicaid eligibility including MAGI, Non-MAGI, Long Term Care and HCBW programs.
- Minimum one year of professional experience working in the Medicaid eligibility system LaMEDS.
- The required information is listed below in the job posting.
- Required Attachments
- Applications that do not include the required uploaded documents may not be considered.
- Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter.
- As part of the hiring process, applicants for positions at LSU New Orleans may be required to demonstrate the ability to perform job-related tasks.
- Excellent analytical skills, effective organizational and time management skills
- Great attention to detail and follow up, and verbal/written communications skills.
- Works well both independently and as part of a team.
- Proficient in the use of Adobe Acrobat Pro as well as Microsoft Office Suite (Word, Excel, PowerPoint, and Outlook).
- Industry-related certifications such as HIM, RHIA, RHIT, CDI, CHDA.
- SALARY: 43-53k
Nice to have
- Bachelor's degree, or an Associate's degree plus three years of professional experience, or six years of professional experience in lieu of degree.
Compensation
- $43k-$53k
This listing is sourced directly from University of New Orleans's careers page and normalized into a canonical job model.