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Medicaid Financial Coordinator

Northwest Education Services
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Medicaid Financial Coordinator

Summary:

Manage the day-to-day activities of the Medicaid School-Based Services function responsible for maximizing cost recovery for the local educational authorities (LEAs) within the three-ISD consortium of Northwest Education Services, Charlevoix-Emmet ISD, Cheboygan-Otsego-Presque Isle ESD. 

This position will also provide consultation, training, and quality review of Member District billing, facilitate the resolution of billing issues and provide alignment with the Medicaid School Services Program policies to improve program compliance and to maximize cost recovery for Member Districts.

  

Job Qualifications

  • Associate’s degree in Business, Accounting, or equivalent combination of education and experience as it pertains to finance, special education and /or Medicaid billing.
  • Demonstrated skill in manipulating and analyzing data; ability to work long periods of time on preparation of detailed, analytical information.
  • Ability to meet stringent deadlines and compliance requirements.
  • Effective written and verbal communication skills.
  • Maintain regular and reliable attendance and punctuality.
  • Effective personal organization.
  • Demonstrated ability to meet deadlines, as well as to organize fiscal related data.
  • Positive attitude and interpersonal skills to deal effectively with staff, peers, area school personnel, and other agencies.


Preferred Qualifications:

  • Bachelors’ degree in Business Administration, Public Administration or related field.  
  • Five or more years of related experience.
  • Knowledge of Medicaid School Services Program, Special Education, IDEA/ Medicaid, and compliance and regulations.
  • Experience using  relational databases in providing data to relevant users

 

Evaluation:

Performance will be evaluated annually by the Director of Finance.

 

General Responsibilities:

  • 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.
  • Monitor all aspects of School Services Program costs reported by the ISD/ESD’s and LEAs to ensure costs are reasonable, allocable and allowable under Federal and State laws and regulations.
  • Review quarterly AOP financial submissions for each ISD/ESD and LEA for logic and accuracy.
  • Coordinate annual Facility Settlement cost submission in CHAMPS for each ISD/ESD and review LEA financial submissions for logic and accuracy.
  • Calculate and initiate reimbursements to LEA’s for AOP and Facility Settlement submitted costs.
  • Monitor program and financial compliance with Medicaid billing requirements; initiate corrective action as needed. 
  • Reconcile accounts and research/resolve billing discrepancies. 
  • Facilitate communication between local business officials and special education staff in understanding the Michigan School Services Medicaid program and their role in program participation.
  • Provide support for local staff working to complete reporting in MiAOP and CHAMPS.
  • Lead efforts to improve program compliance and maximize cost recovery for the LEAs.
  • Develop, conduct and oversee the provision of professional development workshops for LEA staff on Medicaid School Services Program policies and billing procedures. 
  • Administer assigned budget(s) ensuring expenditures are within the approved budget(s). 
  • 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-Based Services 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.
  • Conduct Quality Assurance reviews/internal audits (quality control) regarding staff costs and cost reporting.
  • Coordinate Michigan Department of Human Health Services (MDHHS) School Services Program Audit for each ISD/ESD.
  • Communicate with LEAs and external parties to resolve problems and exchange information. 
  • Maintain current knowledge of Medicaid billing and reimbursement rules/ requirements. Implement changes to procedures as necessary.


Apply online at northwested.org under Employment Opportunities.  Applicants can include as attachments cover letter, resume and transcript(s).  

 

Non-Discrimination Statement

Northwest Education Services and its Board of Education does not discriminate on the basis of race, color, religion, national origin, sex (including sexual orientation and transgender identity), disability, age, height, weight, marital or family status, military status, ancestry, genetic information or any other legally protected category (collectively, "Protected Classes") in its programs and activities, including employment opportunities.