Job Details

CAU Eligibility Specialist

  2025-08-31     University Of New Orleans     Baton Rouge,LA  
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 La. MEDS 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 ter...Specialist, Technology, Education


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