CAU Long Term Care Eligibility Specialist - Baton Rouge, United States - Louisiana Department of State Civil Service

Description

CAU Long Term Care Eligibility Specialist

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CAU Long Term Care Eligibility Specialist

Salary

Depends on Qualifications

Location

Baton Rouge, LA

Job Type

Unclassified

Job Number

R-000993

Department

University of New Orleans

Opening Date

02/09/2024

• Description
• Benefits

Qualifications

Please clickHERE \_R-000993?q=r to apply.

• Timely complete appeal actions to re-open and/or close cases in accordance with appeal status. Take precautions to not re-notice appellants when taking these actions.
• Process CAU reversals which will include clearing issues and discrepancies in LaMEDS to assist with the processing of applications and renewals.
• Review data systems to determine what action needs to be performed. Maintain controls to ensure reversals are completed within required deadlines.
• Document eligibility research electronically in the required Medicaid system applications.
• Prepare eligibility decision notices by inputting required data into the corresponding Medicaid application systems, as necessary.
• Maintain knowledge of Medicaid policies and procedures and ensure that any new changes, updates or clearances are applied accordingly.
• Maintain knowledge and usage of all verification systems the agency has access to.
• Interpret and apply complex federal, state, and agency policy. Employ rudimentary knowledge and terminology of legal, medical and business areas, including real estate and insurance.
• Trend and analyze appeals data both regionally and statewide. Develop and produce reporting based on appeals data to influence training needs and decision making.
• Attend and participate in required meetings and trainings.
• Attend LTC hearings when needed.
• Complete LTC appeal packets needed.
• Other tasks as directed.

QUALIFICATIONS

REQUIRED:

• Bachelor's degree or 6 years of professional experience in lieu of degree.
• Minimum two years of professional experience determining Medicaid eligibility.
• Minimum one year of professional experience determining Long Term Care and Waiver eligibility.
• Minimum one year of professional experience utilizing the LaMEDS system.
• Excellent analytical skills, effective organizational and time management skills.
• Great attention to detail and follow up.
• Excellent verbal and written communication skills.

DESIRED:

• Advanced degree.
• Minimum three years of professional experience in determining Medicaid eligibility.
• Minimum two years of professional experience in determining Long Term Care and Waiver Medicaid eligibility
• Minimum two years of professional experience working with Medicaid appeals process.
• Minimum two years of professional experience utilizing the LaMEDS system.

Benefits for unclassified employees are determined by the individual hiring authority.

Agency

State of Louisiana

Address

For agency contact information, please refer to

the supplemental information above.

Louisiana State Civil Service, Louisiana, 70802

Phone

Website

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