Medicaid Program Coordinator

About the Employer

Job Summary

Basic function: To lead the Medicaid Reimbursement efforts district-wide by coordinating all aspects of the claims process, including maintenance of all records, coordination with the Billing Contractor, and other related duties as assigned.

Department and Reporting Structure

Department: Superintendent and Human Resources Reports to: HS Principal or Associate Principal Receives guidance from: School Nurse, Special Education Teachers, District and School Staff, and Parents.

Essential Dispositions and Ownership

• Exhibits Essential Dispositions and ownership of Comet Pride
• Integrity
• Courage
• Resilience
• Excellence
• Responsibility

Effective Communications Skills

• Exhibits effective communications skills
• Effective outcomes in providing students' behavioral and socio-emotional support

Organization, Growth Mindset, Grit, and Enthusiasm

• Exhibits organization, growth mindset, grit, and enthusiasm for effective outcomes for students

Required Skills and Competencies

Demonstrated experience or willingness to acquire skills in:
• PC/Windows operating system
• Various computer programs
• Internet and e-mail
• Student Information and Financial Management Systems
• Various office equipment (fax, copier, scanner, etc.)
• Central Rivers AEA - Information Management System

Medicaid Claims Administration

Maintain an Excel worksheet of Medicaid claims (student name, student address, grade level, DOB, building, building address, teacher, school district, expiration date of consent and IEP, behavior intervention plan on file, diagnosis code, goal services, receiving transportation, tracking forms sent and received). Maintain an Excel worksheet with all the consent forms received from buildings (student's name, DOB, parent/guardian, parent declines or agrees to consent, date consent signed). Maintain the Medicaid shared folder for teachers and shared folder for nurses.

Preparation of Forms and Reports

Prepare and distribute monthly forms for eligible students. Review all claims for accuracy and appropriateness. Return forms to individuals for correction, if needed. Provide professional development to DCSD staff on Medicaid process in coordination with DCSD Health Coordinator, DCSD Special Education Coordinator, and Timberline Billing Services.

Collaboration and Communication

Participate in audits. Coordinate with Timberline Billing Services. Attend professional development for Medicaid as directed. Submit claims to Timberline Billing Services. File behavior, health, and transportation claims returned from Timberline Billing Services.

Implementation of Electronic Billing System

Prepare for the new school year: preparation of files. Preparation of transportation forms for eligible students. Lead district staff in the implementation of the electronic billing system (Load templates and manage the electronic billing system). Collaborate with staff to answer questions and communicate about requirements. Train employees in working with Medicaid on proper process and documentation on claiming.

Physical Demands and Abilities

This position will require physical demands that include constant sitting, manual dexterity, reaching/pushing/pulling, lifting up to 25 pounds, carrying 35 feet, working inside, and extremes in temperature/humidity. There will be frequent walking, climbing/stairs and bending/stooping. There will be occasional driving, and reaching/pushing/pulling.

Knowledge and Education

• Required: High School Diploma or GED
• Desired: Advanced degrees in Finance, Communications, or Organizational Management
• Experience in a Clerical/Administrative Assignment
• Experience working with children/Students

Job Specifications

type: FT 196 day salary: $23.50/hr

Continuous Notice of Nondiscrimination

It is the policy of the Charles City Community School District not to discriminate on the basis of race, color, national origin, sex, disability, religion, creed, age (for employment), marital status (for programs), sexual orientation, gender identity and socioeconomic status (for programs) in its educational programs and its employment practices.

Application Information

We look forward to meeting you! To learn more about our benefits, insurance, and pay, please click the link below: [link] To set up a tour of our campuses and community, please contact us at: cccsd@charlescityschools.org