Medicaid Specialist

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Utilize established protocols to deliver outstanding customer service and support.

• Ensure the accuracy of customer accounts in compliance with state and payer Medicaid regulations.

• Investigate accounts and rectify potential discrepancies by auditing data from phone calls, emails, and tickets.

• Execute assigned tasks such as move-ins, Medicaid conversions, charge maintenance, and changes to agreements and billing parties in accordance with state Managed Care Organization guidelines.

• Collaborate with communities to amend accounts prior to monthly resident invoicing.

• Update resident accounts following state and MCO rate adjustments.

• Oversee and allocate work tickets via the internal system, mail, and external faxes.

• Assess and identify opportunities for process enhancements that positively affect performance and customer experience.

• Carry out other responsibilities as directed by the supervisor.

⛳️ Requirements

• A high school diploma or GED is mandatory.

• At least one year of customer service experience is essential.

• Experience in a healthcare office setting is preferred.

• Exceptional customer service skills are required.

• Proficiency in Microsoft Office (e.g., Excel, Word, etc.) is necessary.

• Strong communication and customer service capabilities are essential.

• Effective interpersonal and organizational skills are required.

• Ability to manage a high volume of details and tasks is crucial.

• Basic technical skills to perform repetitive and clearly defined tasks are necessary.

• Capability to follow written or verbal instructions is required.

• No certifications, licenses, or additional special requirements are necessary.

• Candidates must reside within 2.5 hours of the Greater Milwaukee, WI area.

🏝️ Benefits

• Opportunities for professional development.

• Continuous programs promoting overall health and wellness.

• Medical, Dental, and Vision insurance.

• 401(k) plan.

• Associate assistance program.

• Employee discount programs.

• Referral program.

• Early access to earned wages for hourly associates (excluding CA).

• Optional voluntary benefits including identity theft protection and pet insurance.

• Paid Time Off.

• Paid holidays.

• Company-provided life insurance.

• Adoption assistance.

• Disability coverage (short and long term).

• Flexible Spending Accounts.

• Health Savings Account.

• Optional life and dependent life insurance.

• Additional voluntary benefits, including accident, critical illness, hospital indemnity insurance, and legal plan.

• Tuition reimbursement.

• Qualified associates with at least one year at Brookdale may receive advancement for naturalization application fees up to $725, minus applicable taxes and withholdings.

• Temporary associates can participate in the company’s 401(k) program.