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NEOGOV · 3 months ago

Recovery - Coordinator 1

Baton Rouge, LA

Full-time

Onsite

Entry Level

6+ years exp

NEOGOV is a company associated with the State of Louisiana, seeking a Recovery Coordinator 1 for the University of New Orleans. The role involves serving as a subject matter expert in Third-Party Liability Recovery issues, developing knowledge of Medicaid policies, and supporting recovery operations related to estate and fraud recoveries.

GovTechHuman ResourcesInformation TechnologySoftware

Responsibilities

May serve as the subject matter expert in Third-Party Liability (TPL) Recovery issues related to Estate, Trauma, Special Needs Trusts, and/or restitution recoveries. Provides support in responses to escalated matters

Develops an advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims

Participates in the development and implementation of TPL policies and procedural changes related to Estate, Trauma, Special Needs Trusts, and/or restitution recoveries

Performs advanced research of claims to identify claims associated with accident-related diagnoses and treatments and/or applicable to various recovery types

Performs advanced calculations to determine appropriate claims recovery amounts and processes incoming payments

Provides support to the Medicaid Fraud and Recovery Investigative Unit’s ongoing, statewide operational activities relative to restitution and fraud recoveries

Pursues the recovery of funds from third parties (including the estates and Trusts of deceased recipients), as appropriate and according to established policies and procedures; includes issuance of recovery notices and assistance to LDH’s Bureau of Legal Service when defending LDH’s interest in legal proceedings

May conduct extensive asset, estate, succession, claim, and other necessary case research. Requires regular coordination with LDH’s Bureau of Legal Service, families of deceased Medicaid recipients, attorneys, insurance companies, and other third parties, in the regular management of assigned Recovery caseload

May serve as the LDH representative for recovery matters under appeal, including preparation of Summaries of Evidence and other documentation and processes required of the LDH’s and Department of Administrative Law’s fair hearing processes

Assists in making recommendations for system changes required due to changing federal and/or state regulations, Medicaid policies, and other factors including system modernization efforts

Participates in planning, development, design, testing, and implementation of changes and/or new specifications to the recovery system

May serve as backup to team lead (i.e. Recovery Coordinator 2)

Other tasks, as directed

Qualification

Medicaid knowledgeThird-Party Liability RecoveryClaims processingAnalytical skillsMicrosoft OfficeProject managementAttention to detailVerbal communicationWritten communication