Louisiana Department of Health
Medicaid Analyst 2
June 2015 — Present
Interprets and applies complex federal, state, and agency policies to make eligibility determinations for an average of 25 applications and 30 Issues per day.
Applies detailed procedural instructions for each program to process new applications or expand existing coverage.
Makes decisions on complex eligibility factors and determines level of benefits for federal and state funded programs
Researches client's financial eligibility using LAMI, The Work Number, SOLQ, and the Louisiana Workforce Commission client database.
Interviews fraud victims and submits claim reports to the Fraud Unit
Conducts interviews with clients and makes other necessary collateral contacts to complete eligibility investigations.
Counsels and refers clients to external community providers.
Records findings, recommendations, and services provided.