Medicaid Analyst - Billing

Job description

Make Lives Better Including Your Own.

The happiness of those we serve is dependent on the happiness of our associates, so you'll receive competitive compensation and a benefits package with additional perks designed to make you smile. The work you do will be challenging yet rewarding. But you'll earn more than a paycheck; you can enjoy opportunities to grow your career, as well as ongoing programs catered to your health, financial, mental, and emotional needs. Most of all, we believe you can find purpose, meaning, and the chance to be a part of something bigger than yourself.

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
• Employee Stock Purchase Program
• 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.

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/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.