Medicaid Specialist

Brookdale; Milwaukee (WI); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k)

Associate assistance program

Employee discounts

Referral program

Early access to earned wages (hourly)”

Voluntary benefits: ID theft & pet保险

Job summary

Brookdale is seeking a Medicaid Specialist who will apply established guidelines to ensure accounts meet state and payer Medicaid requirements. The role involves researching accounts, resolving errors from calls, emails, and tickets, and processing tasks like move-ins and rate changes.

Responsibilities include correcting accounts before monthly invoicing, updating rates, and distributing work while seeking improvements to drive performance and customer experience.

Qualifications

• High school diploma or GED is required.
• Minimum of one year of customer service experience is required.
• Healthcare office experience is preferred.
• Excellent customer service skills is required.
• General knowledge of Microsoft Office (i.e. Excel, Word, etc.) is required.

Responsibilities

• The Medicaid Specialist uses established guidelines to provide exceptional customer service and support to ensure customer accounts are accurate and meet the state and payer Medicaid requirements.
• Researches accounts and resolves potential errors and issues through the audit of accounts from phone calls, emails, and tickets received.
• Processes a series of assigned tasks including move-ins, conversions to Medicaid, charge maintenance, and agreement and billing party changes following state Managed Care Organization (MCO) guidelines.
• Works with communities to correct accounts prior to monthly resident invoicing.
• Updates resident accounts upon state and MCO rate changes.
• Monitors and distributes work tickets through internal system as well as mail and external faxes.
• Evaluates and identifies opportunities to drive process improvements that positively impact performance and customer experience.

Skills

Customer service

Communication

Attention to detail

Teamwork

Education

High school diploma or GED

Tools

Microsoft Office

Job description

• Must Live Within 2.5 Hours from Milwaukee WI****

Job Description

Medicaid Specialist

• Must Live Within 2.5 Hours from Milwaukee WI****

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity

Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.

Part And Full Time Benefits Eligibility

• Medical, Dental, Vision insurance
• 401(k)
• Associate assistance program
• Employee discounts
• Referral program
• Early access to earned wages for hourly associates (outside of CA)
• Optional voluntary benefits including ID theft protection and pet insurance

Full Time Only Benefits Eligibility

• Paid Time Off
• Paid holidays
• Company provided life insurance
• Adoption benefit
• Disability (short and long term)
• Flexible Spending Accounts
• Health Savings Account
• Optional life and dependent life insurance
• Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan
• Tuition reimbursement

Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program.

Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.

The application window is anticipated to close within 30 days of the date of the posting.

Responsibilities

The Medicaid Specialist uses established guidelines to provide exceptional customer service and support to ensure customer accounts are accurate and meet the state and payer Medicaid requirements.

• Researches accounts and resolves potential errors and issues through the audit of accounts from phone calls, emails, and tickets received.
• Processes a series of assigned tasks including move-ins, conversions to Medicaid, charge maintenance, and agreement and billing party changes following state Managed Care Organization (MCO) guidelines.
• Works with communities to correct accounts prior to monthly resident invoicing.
• Updates resident accounts upon state and MCO rate changes.
• Monitors and distributes work tickets through internal system as well as mail and external faxes.
• Evaluates and identifies opportunities to drive process improvements that positively impact performance and customer experience.

This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.

Education and Experience

High school diploma or GED is required. Minimum of one year of customer service experience is required. Healthcare office experience is preferred. Excellent customer service skills is required. General knowledge of Microsoft Office (i.e. Excel, Word, etc.) is required.

Certifications, Licenses, And Other Special Requirements

None

Management/Decision Making

Makes standard and routine decisions based on detailed guidelines with little independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor.

Knowledge And Skills

Has a basic level of skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Strong communication and customer service skills. Effective interpersonal and organizational skills accompanied with the ability to work with a high level of volume and detail.

Physical Demands and Working Conditions

• Standing
• Walking
• Sitting
• Use hands and fingers to handle or feel
• Reach with hands and arms
• Stoop, kneel, crouch crawl
• Talk or hear
• Vision
• Requires interaction with co-workers, residents or vendors

Brookdale is an equal opportunity employer and a drug-free workplace.

About Us

Brookdale is an Great Place to Be

• Gracious hospitality and neighborliness for our residents and families.
• Home-like feel and all-around comfort for residents and visiting family members.
• Entertaining events and gatherings so our residents can find connections in groups and 1:1 settings.
• Industry leader in clinical care.
• Nationwide company with 589 communities as of November 30, 2025, offering many opportunities to grow and learn as a sales professional.
• Extensive corporate support including a robust training program.