Medicaid Specialist: Elevate Resident Care & Compliance

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

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.