Brookdale Senior Living Medicaid Analyst in Milwaukee, Wisconsin
6737 W. Washington St. Suite 2300 Milwaukee, WI 53214
Job #: MACOmilWI59632
Using established guidelines, the Medicaid Analyst I is responsible for providing exceptional customer service and support to Brookdale customers and fellow associates.
*Your responsibilities: *
Comply with company and state Medicaid/Managed Care Organization (MCO) policies and regulations.
Provide quality customer service in a high-volume, fast-paced environment to internal and external customers.
Research accounts and resolve potential errors and issues through the audit of accounts from phone calls, emails, and tickets received.
Process a series of assigned tasks including move-ins, conversions to Medicaid, charge maintenance, and agreement/billing party changes following state/MCO guidelines.
Work with communities to correct accounts prior to monthly resident invoicing.
Update resident accounts upon state/MCO rate changes.
Monitor and distribute work tickets through internal system as well as mail and external faxes.
Make standard and routine decisions based on detailed guidelines with minimal independent judgment. Solve problems with clear, detailed guidelines; or, by reporting them to a supervisor.
Deliver quality work to include maintaining passing scores on scheduled audits and meeting department deadlines and goals specific to area of responsibility.
Possess professional verbal and written communication skills.
Work the hours indicated by leadership, taking appropriate breaks and lunches as scheduled.
Continuously evaluate and identify opportunities to drive process improvements that positively impact performance and customer experience
Submit monthly billing for multiple states through clearinghouse or web portals.
Review payments from state/MCO for accuracy.
Maintain authorizations for services and ensure accurate charges are reflected on accounts.
Perform accurate account research and necessary adjustments based on situation and state/MCO regulations.
Correspond with payers, communities, and/or caseworkers to correct or modify payments received.
Identify potential issues through review of daily, weekly, and monthly generated reports.
Research and assist in processing of state/MCO refunds.
Other duties as assigned based upon business need by manager/supervisor
Required skills and qualifications:
High school diploma or general education degree (GED) required. Associate"s Degree preferred.
Minimum two years" experience in Customer Service. Healthcare setting preferred.
Excellent customer service skills.
Working knowledge in Microsoft Office (Excel, Outlook, Word, etc.).
If you"re a Brookdale associate, please consider referring someone through the Good People Program!
Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace.