Medicaid Specialist

Responsibilities

• 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.
• Monitors 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.

• 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.

• Account Resolution
• Billing Maintenance
• Data Entry
• Rate Change Updates
• Task Processing

• Excellent Customer Service Skills
• Communication Skills

• High School Diploma
• GED