Medicaid Analyst 1-3
Medicaid Analyst 1-3
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Job Description
About this Job
The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services the development and stimulation of services of others and the utilization of available resources in the most effective manner.
LDH serves as a model employer for individuals with disabilities.
AN IDEAL CANDIDATE SHOULD POSSESS THE FOLLLOWING COMPETENCIES:
Focusing on Customers: The ability to serve the needs of those who support and/or rely on the services provided.
Following Policies and Procedures: The ability to comply with policies and procedures of the organization as well as State Civil Service rules and all applicable federal and state laws.
Thinking Critically: The ability to objectively question analyze interpret and evaluate information to form a conclusion.
Adapting to Change: The ability to adjust plans expectations and behaviors in response to change.
Minimum Qualifications
Three years of social services experience; OR
Six years of full-time experience in any field; OR
A bachelors degree.
EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.Job Specification
The official job specifications for this role as defined by the State Civil Service can be found here.
Job Duties and Other Information
Job Duties:
Under close supervision the entry level Medicaid Analyst learns to perform the following duties: The Medicaid Analyst (MA) is a position responsible for acquiring an extensive knowledge of Medicaid policy and procedures and using the same tools to make timely and accurate Medicaid eligibility determinations. The MA determines eligibility for health insurance to members and applicants in the manner of their choosing. The applications are received electronically by computer by mail by email in person or most often by telephone. This position requires competency of web-based programs. Work conditions are a combination of sedentary work on a computer helping members by phone in a call-center format. The successful candidate is an individual who works independently is detailed oriented has excellent customer service skills can perform routine activities is attentive to deadlines computer literate is a team player and experience with high call volumes. Medicaid eligibility is fundamental to the overall Medicaid program and the mastery of eligibility policy and procedure may be the first step in a path for career growth in health insurance field. Conducts interviews with clients and makes other necessary collateral contacts for verification in determining eligibility for Medicaid Programs. Examines application packets for timelines completeness and appropriateness prior to authorization of reimbursements. Makes decisions on complex eligibility factors and determines level of benefits for federal and state funded programs as a result of the rolldown procedure. Interprets and applies complex federal state and agency policies for each program. Conducts special investigations and complies reports concerning fraud and location of absent parents. Counsels and refers potentially eligible recipients or applicants to other agencies. Contacts individuals companies businesses local state and federal agencies as needed to obtain or to verify information. Records findings recommendations and services provided; completed case record forms and necessary correspondence in connection with assigned cases.
Position-Specific Details:Location: The Louisiana Department of Health / Medical Vendor Administration / Bureau of Health Services and Financing / Rapides Parish
Announcement Number:MVA/PJ/209956
Cost Center: 305-2050407
Position Number(s):69022
Appointment Type: Classified position and may be filled as a Probationary or Promotional appointment.
How To Apply:
No Civil Service test scoreis required in order to be considered for this vacancy.To apply for this vacancy click on the Apply link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
* Information to support your eligibility for the position must be included in the application (i.e. relevant detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.
Contact Information:
For further information about this vacancy contact:
Paula Jackson
LDH/HUMAN RESOURCES
BATON ROUGE LA 70821
This organization participates in E-verify and for more information on E-verify please contact DHS at 1-.
Required Experience:
IC
Employment Type
Unclear
