Medicaid Specialist

Medicaid Specialist - Remote

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.

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.

1. Researches accounts and resolves potential errors and issues through the audit of accounts from phone calls, emails, and tickets received.
2. 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.
3. Works with communities to correct accounts prior to monthly resident invoicing.
4. Updates resident accounts upon state and MCO rate changes.
5. Monitors and distributes work tickets through internal system as well as mail and external faxes.
6. 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.

Qualifications

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.