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CAU Eligibility Specialist
University of New Orleans
Posted 12/03/25
2000 Lakeshore Drive, New Orleans, LA 70148
Job Description
Department Eligibility Support
Job Summary
Job Description
- 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.
- Other tasks as directed.
QUALIFICATIONS
REQUIRED:
- Bachelor’s degree or 6 years of professional experience in lieu of degree.
- 2 years of professional experience determining Medicaid eligibility.
- Current working knowledge of 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 4 years of professional experience in determining Medicaid eligibility.
- Minimum 2 years of professional experience working with Medicaid appeals process.
- Advanced knowledge of the LaMEDS system.
- Experience with data analysis and research.
SALARY: 40-60k
About University of New Orleans
Outside GNO RegionCompany ProfileA Commitment to New Orleans and Beyond
Since its founding, UNO has been committed to diversity and inclusion. In 1958, the University of New Orleans opened its doors as the first fully integrated public university in the South. For nearly 60 years, we have not strayed from that vision. The University has educated students from all 64 Louisiana parishes, all 50 states, and more than 130 countries, bringing together a variety of talented and motivated students so that they may learn, interact and pursue their career goals.
The University of New Orleans is a major business driver in metro New Orleans, generating a total economic impact of $470.5 million for metropolitan New Orleans in the 2014-15 fiscal year. As a global community asset, we offer a wide array of relevant, undergraduate and graduate academic programs and world-class research opportunities. We proudly contribute to the industry, culture and economy of the New Orleans region and beyond.
Nationally Ranked
Our students come here for a number of reasons, but on the top of that list is the high quality education we provide. We're proud to be named one of the nation's best colleges by The Princeton Review, Forbes, U.S. News & World Report and one of the top 1,000 universities in the world by the Center for World University Rankings. We are also classified by the Carnegie Foundation as a Doctoral University with Higher Research Activity, one of only two in the state of Louisiana. The University's rankings are a testament to the students we attract and the quality of our faculty.
Website
uno.edu/Social Media
