Brookdale Senior Living Medicaid Analyst in Milwaukee, Wisconsin

Medicaid Analyst

6737 W. Washington St. Suite 2300 Milwaukee, WI 53214

Job #: MACOmilWI59632

Job Summary

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.