Medicaid Coordinator Compliance

PO SITION: Medicaid Coordinator Compliance QUALIFICATIONS:

• Bachelor's degree in accounting, finance, public or business administration required.

• Minimum of 5 years' of related experience in Medicaid Service Program, IDEA special education and/or Compliance, regulations, and use in relational databases in providing data to relevant users.

JOB FUNCTIONS:

• Oversee the provision of consulting services, technical assistance, and training to local educational authority (LEA) staff in interpreting the Medicaid School Services Program, Administrative Outreach Program (AOP) and Caring 4 Students policies/regulations and billing procedures, and resolution of billing issues.

• Serve as principle liaison with ISD/ESD staff, constituent districts, and other agencies/providers related to the Medicaid Reimbursement Programs.

• Ensure ISDs/ESDs and LEAs effectively establish and implement internal controls over School Services Program and Caring 4 Students Medicaid claims, including student eligibility, claim submission, and compliance audits.

• Facilitate communication between local business officials and special education staff in understanding the Michigan School Services Program and their role in program participation.

• Facilitate all aspects of the program quality and control systems.

• Develop, conduct and oversee the provision of professional development workshops for LEA staff on Medicaid School Services Program policies and billing procedures.

• Prepare and oversee the preparation of program documents and reports as required.

• Coordinate all billable services (i.e. skilled nursing, psychological, speech, physical and occupational therapy, etc.)

• Create, maintain and provide supporting documentation and provider qualifications.

• Coordinate and develop time study training on a regular schedule. Send reminders of time study requirements, ensure coding is accurate and reset passwords as needed. Generate a report of staff participation, completion, and reimbursements. Adhere to regulations and policies while tracking employees through time study to ensure 100% completion.

• Organize and analyze data and create reports to monitor and provide feedback to local districts regarding Medicaid services (e.g. volume, status, notes, compliance with policy).

• Develop and implement standard operating procedures, technologies and recordkeeping systems to improve operating quality and efficiency.

• Serve as the Consortium Schools' primary contact to the Michigan Department of Health and Human Services (MDHHS) and other entities seeking information regarding Medicaid School Services Program function.

• Facilitate regular, ongoing communication with member district staff to provide front-line support, respond to requests and resolve issues using various print and electronic methods.

• Assist and train staff in the use of Medicaid related electronic information systems and compliance.

• Conduct Quality Assurance reviews/internal audits (quality control) regarding student records.

• Coordinate Michigan Department of Human Health Services (MDHHS) School Services Program audit for each ISD/ESD.

• Maintain current knowledge of Medicaid billing and reimbursement rules/ requirements. Implement changes to procedures as necessary.

• Provides continuous feedback, verbal and/or written, to team in regards assigned duties.

• Predictable, reliable, and punctual attendance.

• Attend local and state professional learning and meetings as deemed appropriate to enhance skills, knowledge and share with finance team for effective accounting process and procedures.

• Other responsibilities as assigned at the direction of the Supervisor or Superintendent.

REPORTS TO: Chief Financial Officer

APPLICATION DEADLINE: Until Filled

CONTRACT LENGTH: 210 days, year-round

COMPENSATION: Business Services Scale, commensurate with experience

BENEFITS:

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DIRECT INQUIRIES TO:

08568 Mercer Boulevard, Charlevoix, MI 49720; p: 231.547.1167

The Charlevoix-Emmet Intermediate School District is an equal opportunity employer. It does not discriminate on the basis of race, color, national origin, creed, age, religion, sex, height, weight, marital status, or disabling condition in employment. No person shall be denied employment solely because of any disability which is unrelated to the individual's ability to do the essential functions and duties of the job or without accommodation. Under state law, a person with a disability condition may not allege a failure to accommodate a disabling condition unless the employer knew or reasonably should have known that an accommodation was needed.