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Washtenaw Area Schools Application Consortium

Medicaid Billing Technician (Part-Time)

Job Description

The WISD's Mission is to educate, serve, and advocate with students, families, schools and the community. We disrupt racial inequities, build just educational systems, and expand access for all learners. We value human potential while striving to support current and future generations of Washtenaw County to enrich as many lives as we possibly can. The WISD's Vision is to be a leader in empowering, facilitating, and delivering high‐quality, boundary spanning, educational system that educates all children through an equitable, inclusive, and holistic approach.
SUMMARY:
Provides administrative support for school-based Medicaid activities for Washtenaw Intermediate School District and nine local school districts in Washtenaw County.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Demonstrates a strong commitment to equity, social justice, and inclusion in all practices and position responsibilities. Demonstrates the ability to examine how his/her/their position (directly or indirectly) impacts educational inequities in student achievement outcomes. Engages in reflection and ongoing learning and development on critical concepts and terms identified in the Washtenaw ISD Educational Equity Policy including concepts such as cultural proficiency, racial equity, and systemic and structural inequities. Runs monthly reports for prescriptions, referrals, and authorizations; routes required documents to the contracted physician for signature. Creates monthly CSRs and uploads them electronically using the Data Connectivity Tool (DCT). Runs monthly Medicaid eligibility process. Runs monthly submission of claims process. Tracks and problem solves issues surrounding software glitches affecting monthly data reporting to the State.
Handles incoming mail:
stamps/sorts/uploads into (PSSP) PowerSchool Special Programs, scan and document management system; maintains filing system by District.
Manages Medicaid Database:
performs monthly updates of staff credentials (licenses/certifications/names); quarterly imports and sync PCG Staff Pool with PSSP Staff Pool Member Security Group. Performs daily checks of (RMTS) Random Moment Time Study Compliance Report to ensure mandatory, prompt responses by LEA/ISD staff given 2-day submission deadline. Reviews the Random Moment Time Study (RMTS) Compliance Report daily. Contacts WISD staff directly regarding incomplete or open moments and connects/coordinates with designated LEA operational contacts to obtain responses from local-District staff. Escalates unresolved matters to PCG or program leadership, as appropriate. Assists with Medicaid training at local districts, WISD or via Zoom for all Direct Service Claiming and Caring for Students Staff Pool. Assists with updating training documents and code changes in PSSP. Assists with County-wide Internal Audit (including, but not limited to, performing random reviews of LEA/ISD staff Service Records, student attendance, IEPs, consents, scripts). Creates reports of audit data for special ed. Directors and supervisors to ensure compliance with District, state and federal requirements. Monitors service documentation and claim-entry activity for all WISD direct service programs, including Personal Care. Contact WISD providers and program staff directly regarding missing or incomplete service records, monthly summaries, plans of care, parent consents, authorizations, and other documentation required for billing. Tracks unresolved documentation and billing issues, provide technical assistance, and escalate recurring or overdue compliance concerns to the appropriate supervisor or program administrator. Runs weekly missing Parent Consent report: Notify LEA secretaries or case managers listed on
IEP/IFSP 1-2
days before upcoming
IEP/IFSP
meeting. Corresponds with Medicaid School Services Program staff at MDHHS and MDE. Researches and prepares reports for projects as assigned. Maintains regular, predictable attendance
  • required.
PERFORMS OTHER DUTIES AS ASSIGNED SUPERVISORY RESPONSIBILITIES
N/A.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Alternative requirements that may be appropriate and acceptable to the Board of Education may be considered. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or
EXPERIENCE
Associate Degree in the field of education, health, business, or equivalent experience
  • preferred. Previous Medicaid billing experience
  • preferred. Experience in or knowledge of School Based records for special education
  • preferred. Experience in the support of end users
  • preferred. Extensive experience with Microsoft Excel
  • preferred. Experience database work
  • preferred.
CERTIFICATES, LICENSES, REGISTRATIONS
N/A
LANGUAGE SKILLS
Demonstrates ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals, and to communicate these to others not as familiar with them. Demonstrates excellent communication skills. Demonstrates ability to write routine reports and correspondence. Demonstrates ability to speak and present effectively before groups of customers or employees of organization.
TECHNICAL SKILLS
Demonstrates proficiency in the use of a personal computer (PC) in a networked environment to utilize the Internet and other electronic communications mechanisms such as email, conferencing, listservs, and bulletin boards. Demonstrates excellent knowledge of productivity applications such as Microsoft Office (word processing, spreadsheets, databases and presentation software) and other technology to support efficient and effective office operation, including the ability to train staff on these applications
  • required
MATHEMATICAL SKILLS
: Demonstrates ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Demonstrates ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
REASONING ABILITY
Demonstrates ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Demonstrates ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
INTERPERSONAL SKILLS
Exhibits excellent customer service and communication skills with a client-centered focus. Exhibits strong interpersonal skills. Demonstrates ability to build rapport with others and to serve diverse publics. Demonstrates ability to take the initiative, work well with others as a collaborative team member and exhibit good communication skills.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to speak or listen. While performing the duties of this job, the employee is regularly required to sit, walk and stand. The employee is occasionally required to bend and or twist at the trunk more than the average person. The employee is continuously repeating the same hand, arm or finger motion many times. The employee must occasionally lift and/or move up to 35 pounds such as files and audit material. Specific vision abilities required by this job include close vision, distant vision and the ability to adjust focus. The ability to travel to other buildings is required. The position requires the individual to sometimes work irregular or extended work hours and meet multiple demands from several people.
ENVIRONMENTAL ADAPTABILITY
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is quiet to loud depending upon the activity in the particular part of the day. The employee may be required to be outdoors for periods of time, and therefore subject to varying weather conditions, for purposes of accomplishing the essential functions of this job.
FUNCTIONS OF POSITION DESCRIPTION
: This position description has been prepared to define the general duties of the position, provide examples of work and to detail the required knowledge, skills and ability as well as the acceptable experience and training for the position. The description is not intended to limit or modify the right of any supervisor to assign, direct and control the duties of employees under supervision. The WISD retains and reserves any and all rights to change, modify, amend, add to or delete from any portion of this description in its sole judgment. This position description is not a contract for employment. The WISD is an equal opportunity employer, in compliance with the Americans with Disabilities Act. The District will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer.
TERMS:
This is a part-time position at 17-18 hours per week (12-month position). Salary and other employment conditions are set forth by the Board of Education. This is a non-bargaining position and is not eligible for benefits. Hourly rate for this position is: $23.60/ Hour. Washtenaw Intermediate School District is a drug-free workplace. It is the policy and commitment of the Washtenaw Intermediate School District not to discriminate on the basis of race, color, religion, national origin, sex, disability, age, height, weight, familial status, marital status, genetic information, sexual orientation or any legally protected characteristic, in its educational programs, activities, admissions, or employment policies in accordance with Title IX of the 1972 Educational Amendments, executive order 11246 as amended, Section 504 of the Rehabilitation Act of 1973 and all other pertinent state and Federal regulations. Apply Now