MES Patient Access & Interoperability - Coordinator 1
university of new orleansBaton Rouge, LA
MES Patient Access & Interoperability - Coordinator 1
L5
university of new orleansBaton Rouge, LAyesterday
Occupations
Medical Secretaries and Administrative AssistantsPatient RepresentativesCustomer Service RepresentativesIndustries
Other Individual and Family ServicesGeneral Medical and Surgical HospitalsAll Other Miscellaneous Ambulatory Health Care ServicesJob Summary:
Responsible for answering and returning calls from the Patient Access and Interoperability queue of the Automatic Call Distribution (ACD) hotline. Responsible for the investigation, documentation and reporting of claim issues and/or discrepancies reported by members utilizing the Patient Access and Interoperability platform. Assist recipients with accessing third party applications authorized to share Louisiana Medicaid recipient information. Reviews all member-facing documentation and webpages for accuracy in reporting Patient Access and Interoperability member education materials. Consults with the Application Programming Interface (API)'s custodian (Gainwell Technologies) and adequately escalate technical issues to their 2nd Tier Call Center. Assists the Interoperability Interface team as needed. Assists higher level Managers with special projects and/or other duties as assigned.
Job Description:
Responsible for answering and returning calls from the Patient Access and Interoperability queue of the Automatic Call Distribution (ACD) hotline. Responsible for the investigation, documentation and reporting of claim issues and/or discrepancies reported by members utilizing the Patient Access and Interoperability platform. Assist recipients with accessing third party applications authorized to share Louisiana Medicaid recipient information. Reviews all member-facing documentation and webpages for accuracy in reporting Patient Access and Interoperability member education materials. Consults with the Application Programming Interface (API)'s custodian (Gainwell Technologies) and adequately escalate technical issues to their 2nd Tier Call Center. Assists the Interoperability Interface team as needed. Assists higher level Managers with special projects and/or other duties as assigned.
Qualifications Required:
- 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.
Desired:
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.
Salary: 40-50kRequired 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 LSU New Orleans; Names and contact information of three references; Applications that do not include the required uploaded documents may not be considered.
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Level
SeniorL5
Location
Baton Rouge, LA
Occupation
Medical Secretaries and Administrative Assistants
Industry
Other Individual and Family Services
Posted
yesterday
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