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Medicaid Specialist
BrookdaleMedicaid Specialist providing customer service and support for Medicaid accounts to ensure accuracy. Resolving issues and ensuring compliance with state and payer requirements in a community support environment.
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- 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.
Benefits
Comp & perks- 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
- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Account ResolutionBilling MaintenanceData EntryRate Change UpdatesTask Processing
Soft Skills
Excellent Customer Service SkillsCommunication Skills
Certifications
High School DiplomaGED