Medicaid Move Outs & Refunds Specialist

Overview:
Make Lives Better Including Your Own.

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

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 Reimbursement
Pet Insurance
Adoption Reimbursement Benefits
Variety of Associate Discounts
Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply.

Please note, Brookdale is committed to complying with all applicable laws and regulations regarding mandatory COVID-19 vaccination.
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.

Process move-outs per state/MCO guidelines
Review and analyze resident accounts to ensure charges are accurate prior to refund processing.
Process refunds for Medicaid residents and state Medicaid programs/MCOs.
Perform accurate account research and necessary adjustments based on situation and state/MCO regulations.
Manage and research returned checks.
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.