Medicaid Clerk

Job Title: Medicaid Clerk
Department: Special Education
Reports To: Special Education Director or Designee

Job Summary

The Medicaid Clerk is responsible for coordinating and managing all aspects of school-based Medicaid billing, documentation, and compliance. This position ensures accurate submission of claims, maintains records of services provided, and serves as a liaison between the district and related service providers to support efficient service delivery and reimbursement processes.

Essential Duties and Responsibilities

• Process and submit Medicaid billing claims for eligible special education services in a timely and accurate manner
• Maintain detailed and organized records of services provided to ensure compliance with state and federal Medicaid requirements
• Track and monitor services provided by related service providers (e.g., speech therapists, occupational therapists, physical therapists, etc.)
• Communicate regularly with related service providers to verify service logs, documentation, and service delivery schedules
• Review and reconcile invoices related to Medicaid services and ensure proper documentation is on file
• Assist in maintaining provider credentials, service logs, and required documentation for Medicaid compliance
• Monitor and follow up on denied or rejected claims and resolve discrepancies
• Generate reports related to Medicaid billing, service delivery, and reimbursement as requested
• Collaborate with district staff to ensure accurate student information and eligibility status
• Support audits by organizing and providing required documentation
• Maintain confidentiality of student records in accordance with FERPA and HIPAA guidelines
• Perform other duties as assigned by the Special Education Director or designee

Qualifications

• High school diploma or equivalent required; associate’s degree or higher preferred
• Experience with Medicaid billing, medical billing, or school-based Medicaid programs preferred
• Knowledge of special education processes and related services preferred
• Strong organizational skills and attention to detail
• Proficiency in data entry, spreadsheets, and office software (e.g., Google Workspace or Microsoft Office)
• Ability to manage multiple tasks and meet deadlines
• Strong communication and interpersonal skills

Physical Demands

• Prolonged periods of sitting and working on a computer
• Occasional lifting of files or office materials

Work Environment

• Office setting within a school district

Marion School District recognizes the worth of all individuals and groups. It is the policy of Marion School District that there will be no discrimination or harassment of individuals or groups on the grounds of age, color, creed, disability, marital status, national origin, race, religion, sex or sexual orientation in any educational programs, activities or employment.