Medicaid Specialist
Responsibilities
- Uses established guidelines to provide exceptional customer service and support to ensure customer accounts are accurate and meet state and payer Medicaid requirements.
- Researches accounts and resolves potential errors and issues through the audit of accounts from phone calls, emails, and tickets received.
- Processes a series of assigned tasks including move-ins, conversions to Medicaid, charge maintenance, and agreement and billing party changes following state Managed Care Organization (MCO) guidelines.
- Works with communities to correct accounts prior to monthly resident invoicing.
- Updates resident accounts upon state and MCO rate changes.
- Maintains and distributes work tickets through internal system as well as mail and external faxes.
- Evaluates and identifies opportunities to drive process improvements that positively impact performance and customer experience.
Qualifications
- High school diploma or GED is required.
- Minimum of one year of customer service experience is required.
- Healthcare office experience is preferred.
- Excellent customer service skills is required.
- General knowledge of Microsoft Office (i.e. Excel, Word, etc.) is required.
About the role
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.
Benefits
- Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.
- Part and Full Time Benefits Eligibility includes Medical, Dental, Vision insurance, 401(k), Associate assistance program, Employee discounts, Referral program, Early access to earned wages for hourly associates (outside of CA), Optional voluntary benefits including ID theft protection and pet insurance.
- Full Time Only Benefits Eligibility includes Paid Time Off, Paid holidays, Company provided life insurance, Adoption benefit, Disability (short and long term), Flexible Spending Accounts, Health Savings Account, Optional life and dependent life insurance, Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and Legal plan.
- Tuition reimbursement and base pay in range will be determined by applicant’s skills and experience. Role is also eligible for team based bonus opportunities.
- Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply.
Pay
Base pay in range will be determined by applicant’s skills and experience.
Schedule
Temporary associates are not benefits eligible but may participate in the company’s 401(k) program.
Physical Demands and Working Conditions
- Standing
- Walking
- Sitting
- Using hands and fingers to handle or feel
- Reaching with hands and arms
- Stoop, kneel, crouch crawl
- Talking or hearing
- Visual demands requiring interaction with co-workers, residents or vendors
About Brookdale
Brookdale is a Great Place to Be: Gracious hospitality and neighborliness for our residents and families. Home-like feel and all-around comfort for residents and visiting family members. Industry leader in clinical care. Nationwide company with 589 communities as of November 30, 2025, offering many opportunities to grow and learn as a sales professional. Extensive corporate support including a robust training program.