Medicaid Support Coordinator

· Cost Projection Tool – Projects and authorizes costs in the Medicaid Services System (MSS) associated with Payment Authorization for Waiver Services (PAWS).

· Monitors Medicaid Waiver costs and tracks changes, including communicating utilization to SSAs and providers.

· Monitors Medicaid renewal using the Ohio Department of Medicaid Provider Network Management (PNM) system.

· Tracks patient liability reports.

· Works with intake to ensure accuracy of consumer data, inter-county transfers, waiver transfers, department rosters and quarterly monitoring of Medicaid Eligibility Rate (MER) percentages.

· Updates, reviews and revises policy and procedures – continuously reviews rules and changes associated with the Ohio Department of Developmental Disabilities (DODD) system and updates corresponding procedures.

· Schedules utilization meetings with the Finance and Operations Director and monitors participation.

· Participates in the creation of the cost report.

· Creates relevant reports and documents consistent with areas of responsibility.

· Provides Medicaiddata analysis for the Superintendent, Finance and Operations Director, Medicaid Services Manager and the SSA Director.

· Responsible for preparing information, scheduling, and coordinating the minutes of the Funding Review Committee.

· Provides support to providers upon request, including but not limited to billing errors, transfer of units and utilization.

· Actively participates in SSA meetings.

· Provides support to the SSA Department for implementation and updates of the OhioISP and other Medicaid related assessments. Prepares and implements trainings for the department.

· Participates in accreditation preparation and provider compliance reviews.

· Participates in Medicaid Administrative Claiming (MAC) Random Moment in Time studies.

· Manages the county board local funds account. This includes preparing invoices for payment, documenting expenses, tracking balances on multiple spreadsheets, reconciling accounts, making deposits, preparing account transfer requests and monitoring payment schedules for Cost of Support (COS) programs including One Time Needs, On-Going Supports, SSA Authorizations and Community Education and Outreach (CEO) allocations. Maintains account expenditures and individual balances for on-going supports.

· Monitors and tracks provider’s utilization of service units authorized. Communicates with SSAs and providers, as needed, regarding utilization tracking for COS.

· Develops and maintains all forms and procedures used by the SSA Department.

· Provides technical assistance and acts as a liaison for the SSA Department with 3rd party software vendors including Brittco, Salesforce, Tableau and other DODD systems.

· Performs other related duties as assigned.

Job Type: Full-time

Pay: $18.92 - $27.90 per hour

Expected hours: 40 per week

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Work Location: In person

Salary : $19 - $28