Summary:
Perform a full range of tasks that support the Winchester Public Schools Medicaid program. Serve as the primary point of contact for all Medicaid program activities.
Responsibilities:
The successful candidate will be responsible for the following:
- Develop procedures pertaining to Medicaid documentation and reimbursement and ensures FERPA and HIPPA compliance;
- Develop procedures for identification of Medicaid-eligible students;
- Interface with staff to obtain parental consent forms;
- Interface with federal, state, local and private agencies to obtain information about eligible students;
- Monitor federal, state and licensing boards regulations pertaining to the Medicaid and Schools program
- Review applicable laws and regulations
- Prepare, maintains and reviews all student Medicaid files;
- Analyze documentation in case files for accuracy, follow-up and changes in status;
- Coordinate all billable services (i.e. nursing, personal care, psychological, speech, physical and occupational therapy services and transportation); Creates, maintains, and provides supporting documentation and provider qualifications; submit all billing
- Analyzes plans of care, addendums, discharge, note documentation and billing information;
- Act as Winchester Public Schools liaison with appropriate state agencies;
- Collaborates with the Department of Technology to manage the Medicaid database and security;
- Develop and maintains billing program for reimbursement of services;
- Reconcile accounts and responds to billing discrepancies;
- Train providers regarding compliance with Medicaid requirements and procedures;
- Prepare and reviews program-related correspondence;
- Create procedural protocols for the local implementation of Medicaid reimbursement program;
- Coordinate and monitor the Administrative Claiming Program (including quarterly time study);
- Stay abreast of changes and developments in the Medicaid reimbursement program and attend Medicaid meetings conducted by state, federal agencies and the National Alliance of Medicaid in Schools (NAME);
- Collaborate with Finance, Special Education and Health Services and Transportation departments to obtain information on Medicaid-related activities as needed for Cost-Based Reimbursement; Complete quarterly ACC reports, yearly school based services and transportation cost reports;
- Develop and maintain database to track children and their Medicaid eligibility
- Submit billing
- Perform related work as required and keep up with ever changing Federal Medicaid rules and regulations;
Qualifications:
Experience in providing support in the area of medicaid related issues.
Location:
Winchester Public Schools Central Administrative Offices
Salary:
Salary range is $16.17 – $34.69 per hour
Workday:
Part-time, 6 hours per day, Monday – Friday
Start Date:
Upon Hire