Medicaid Specialist

Job | Posted a month ago
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Employment Type
Part-time
Base Salary
$16 - $35 per HOUR
Start Date
Immediately
Valid Through
07/23/2021
Position Areas
Non-Instructional Support

Description

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;

Posted By

Winchester Public Schools

12 North Washington Street , Winchester, VA 22601
 

At the following locations

Central Administrative Office

12 N. Washington St. , Winchester, VA 22601