Medicaid Billing Specialist

Overview

Local Remote Position. Must live in the Greater Milwaukee Area.

 

Make Lives Better Including Your Own.

 

Relationships and integrity are the heart of our culture. They help us create a welcoming and inclusive community among our residents, associates and patients that feels like family. They guide us to be open in our communication with each other, and enable us to make the right decisions for the people who have entrusted us with their care. Our relationships and integrity work together to create a positive impact in the lives of the people we touch.

 

The happiness of those we serve is dependent on the happiness of our associates, so you’ll receive a competitive compensation and benefits package with additional perks designed to make you smile. The work you do will be challenging yet rewarding. You’ll 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 – physical, mental, emotional, and financial. Most of all, we believe you can find purpose, meaning, and the chance to be a part of something bigger than yourself.

 

If you want to work in an environment where you can become your best possible self, join us!

 

Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply.

 

We believe that in order to best serve our residents and patients, we need to first serve our associates.  One way we do that is through our benefits.  Our offerings include, but are not limited to: 

 

Full-time and part-time associate benefits:

·         401(k) Retirement Savings Plan

·         Benefit plan package

·         Pre-tax Commuter Benefit

·         Associate Compassion Fund

·         Associate Discounts

·         Identity theft protection

·         Pet savings and insurance plans

·         Voluntary benefits available

 

 Full-time associate benefits:

·         Extensive Insurance Plans, including medical, dental, vision, flexible spending account, health savings account and more.

·         Paid Time Off

·         Adoption Benefit

·         Tuition Reimbursement

·         Company-provided life insurance and accidental death and dismemberment (AD&D)

·         Voluntary STD and LTD

 

Please note, Brookdale has adopted a policy requiring all associates to be fully vaccinated against COVID-19, subject to limited exemptions based on medical conditions, sincerely held religious beliefs, or applicable state laws and regulations.

Responsibilities

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 (MCO’s) for multiple states.  Responds to written and verbal communications from residents, field personnel, financial/medical caseworkers and peers.

  1. Submit monthly billing for multiple states through clearinghouse or web portals.
  2. Review payments from state/MCO for accuracy.
  3. Maintain authorizations for services and ensure accurate charges are reflected on accounts.
  4. Perform accurate account research and necessary adjustments based on situation and state/MCO regulations.
  5. Correspond with payers, communities, and/or caseworkers to correct or modify payments received.
  6. Identify potential issues through review of daily, weekly, and monthly generated reports.
  7. Research and assist in processing of state/MCO refunds.
  8. Other duties as assigned based upon business need by manager/supervisor

 

This 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.

Qualifications

Education and Experience
High school diploma or general education degree (GED) required. Associate’s or Bachelor’s Degree preferred. Minimum three years experience with Assisted Living Medicaid billing including state Medicaid programs and MCO programs with an emphasis on account resolution.

 

Certifications, Licenses, and Other Special Requirements
None

 

Management/Decision Making
Makes standard and routine decisions based on detailed guidelines with little independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor.

 

Knowledge and Skills
Has a basic level of a skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Possesses excellent verbal and written communication skills. Proficient in Microsoft Office (Excel, Word, Outlook, etc.).

 

Physical Demands and Working Conditions

  • Standing
  • Walking
  • Sitting
  • Use hands and fingers to handle or feel
  • Reach with hands and arms
  • Stoop, kneel, crouch crawl
  • Talk or hear
  • Ability to lift:  up to 25 pounds
  • Vision
  • Requires interaction with co-workers, residents or vendors

Brookdale is an equal opportunity employer and a drug-free workplace.

Medicaid Billing Specialist

Regular Full-Time
ID: 2022-164940
Finance - Insurance/Reimbursement
Apply FSS-Healthcare AR-MKE
Brookdale Corporate – Milwaukee
6737 W. Washington St.,
Milwaukee, WI 53214
field26665 Corporate

Regular Full-Time
ID: 2022-164940
Finance - Insurance/Reimbursement