Medicaid Specialist - Billing

Responsible for using established guidelines, tracking resident data, processing charges and paperwork, reconciling resident accounts, submitting billing and researching denials and payments for Medicaid State payers including Managed Care Organizations (MCOs) for multiple states.

Responds to written and verbal communications from residents, field personnel, financial/medical caseworkers and peers.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/supervisorThis 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.Voted by Newsweek in 2024 as one of America's Greatest Workplaces for DiversityEarly Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA)Make Lives Better Including Your Own.If you want to work in an environment where you can become your best possible self, join us! Youll 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.

Additional benefits offered include, but are not limited to:Tuition ReimbursementPet InsuranceAdoption Reimbursement BenefitsVariety of Associate DiscountsVeterans, 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.