Marieca Murphy Email & Phone Number

Baton Rouge, Louisiana, United States

Work with credentialing and contracting to ensure provider network adequacy for Medicaid/Medicare member's in a Managed Care setting.Ensures the provider network meets compliance and Louisiana Department of Health contractual obligations.

Work with credentialing and contracting to ensure provider network adequacy for Medicaid/Medicare member's in a Managed Care setting.Ensures the provider network meets compliance and Louisiana Department of Health contractual obligations.

Baton Rouge, Louisiana, United States

Baton Rouge, Louisiana Area

 Review and find solutions for member’s complaints submitted to the health plan Gather facts, analyze the root cause of complaints, and draft report on findings Assist with gathering and editing language for reports submitted to the state Make outbound calls to members and resolve issues over the phone when applicable Interact with various departments.

 Work with internal and external providers to clear up issues with member’s eligibility.  Research and resolve claims issues  Maintain and track data regarding issues reported for eligibility issues via spreadsheets to identify and resolve trends.  Work with Medicaid and Medicare to investigate issues pertaining to member’s coverage.  Train providers.

 Assist callers with various Medicaid and Medicare issues. Complete intake for inpatient and outpatient mental health services. Responsibilities include answering incoming calls on eligibility, benefits, claims, and authorization of services from providers and members.  Responsibilities also include the administration of intake documentation in the.

High School

Education record