Medicaid Coordinator

Medicaid Coordinator

Reports To:

Director of Finance & Operations

Location of Work :

VBISD Conference Center

490 South Paw Paw Street

Lawrence, MI 49064

Start Date: As soon as possible. Open until filled.

Job Goals:

The primary goals are to oversee participation in the Michigan Medicaid School Services Program (SSP). This position works closely with Michigan Department of Health and Human Services (MDHHS), Michigan Department of Education (MDE), and constituent Local Education Agencies (LEAs) to ensure compliance with Medicaid requirements.

Qualifications:

Education : Bachelor’s degree required in Education, Public Administration, Health Administration, Business, Finance, Accounting or related field.

Work Experience : Experience with Michigan Medicaid School Services Program (SSSP) preferred. Familiarity with IDEA, special education regulations and school-based service delivery preferred. Accounting background desired.

Skills:

• Strong organizational, communication, and analytical skills
• Ability to work with minimal supervision and be detail-oriented
• Ability to effectively present information and train individuals or groups
• Ability to deal with the public tactfully and courteously and to work harmoniously with other employees
• Ability to travel independently throughout Van Buren County and surrounding areas
• Ability to travel to constituent LEAs and attend off-site meetings or conferences
• Proficiency in Microsoft Excel and PowerPoint to manage data, create reports, and develop training materials.
• Data analysis skills necessary for ongoing program evaluation
• General professional skills, including a willingness to:
• • Make child-centered decisions.
  • Assume positive intentions when working with others.
  • Adhere to federal, state and VBISD policies and procedures.
  • Model VBISD guidelines: Respect, Integrity, Compassion and Excellence.
  • Complete assigned responsibilities within agreed upon timelines.
  Seek ongoing professional learning and accept feedback in a professional way.
  

Key Responsibilities:

• Coordinate and administer the Medicaid School Services Program (SSSP) in compliance with Michigan Department of Health and Human Services (MDHHS) requirements
• Provide training and technical assistance to service providers through information manuals and group training sessions
• Act as help desk for questions related to Medicaid billing process
• Obtain and maintain required prescriptions/physician orders
• Verify student eligibility related to Medicaid programs
• Process, submit and track Medicaid claims timely and accurately within online systems such as Power Schools Special Programs and Relay
• Monitor Staff Pool lists and encounters to maximize reimbursements
• Prepare reports and correspondence related to Medicaid billing
• Oversee the electronic archival of student, medical and billing documents
• Conduct quality assurance to ensure compliance with Medicaid documentation and RMTS participation
• Assist with audits and reviews as needed
• Attend state and regional Medicaid Implementer meetings to stay current on policy updates, program requirements, and best practices
• Lead program development and operations to guide the integration of Medicaid processes and compliance throughout the county
• Manage data relative to districts, clinicians, students, procedure codes, caseloads, billing, etc
• Analyze data using spreadsheets, databases and other tools
• Stay current with Federal and State laws and policies to ensure compliance and to promote best practices
• Other duties as assigned

Essential Job Functions:

• Ability to sit and work on a computer for long periods of time
• Valid driver’s license required.
• • Ability to travel and participate in State meetings
  • Ability to travel to constituent districts and offsite meetings
• Ability to participate in overnight travel to attend conferences or trainings
• Valid driver's license required.

Terms of Employment: As per master agreement and provisions established by the Van Buren Board of Education.

This posting and our online application can be found on the Van Buren ISD’s website at www.vbisd.org under Employment. If you do not have access to a computer with internet access, you may use a computer at VBISD by calling 269-539-5218.

The position is open until filled.

In-house staff must fill out the online internal application.