MEDICAID GRANT SITE REPRESENTATIVE #1985

Position Type :

District Administrative Office / Grant Site Representative

Date Posted : 5 / 6 / 2024

5 / 6 / 2024

Location :

Nye County School District-Southern Office

Date Available :

Additional Information : Show / Hide

Description :

Medicaid Billing Grant Site Representative

Location :

District Office- Southern

Hours :

3.75 hours / 183 days

Salary Range :

$17.29 - $21.64 / hour

Job Goal :

Collaborates with all departments within the NCSD and with outside agencies, including Nevada Medicaid and Third-Party Billing Agency (currently PCG) in support of billing school-related services to Medicaid.

Responsible for maintaining documentation, including electronic files and paper, and reporting. Serves as the primary point of contact for all Medicaid billing activites.

Qualifications :

• Minimum High School diploma or equivalent
• Valid Nevada Drivers License

Essential Duties and Responsibilities :

• Adheres to HIPAA and FERPA compliance, maintaining security and confidentiality of all Medicaid and Special Education files and records.
• Utilizes Medicaid 's provider portal to verify student eligibility and monitor for payment
• Collaborates with staff to obtain parental consent forms and electronic signatures; enters related data in Third Party Billing program;

maintains and tracks consent records

• Provide qualifying IEPs to provider for physician authorization; enter related data in Third Party Billing program; maintain records and track services and authorizations
• Analyze documentation for accuracy, follow-up, and changes in status
• Assists in the management of the database as it relates to student records
• Provides follow-up for billing discrepancies or missing information
• Maintains compliance with Medicaid requirements and procedures
• Stays informed of changes and developments in the Medicaid reimbursement program
• Assists in implementing changes in billing procedures as it relates to eligible services Collaborates with Third Party Billing agency, Medicaid, state agencies, Special Education, Technology / Student Data Administration, and Finance to ensure accurate and efficient billing practices and reimbursement procedures. Communication
• Attends and contributes to meetings with Third Party Billing agency, Medicaid, state agencies, Special Education, Technology / Student Data Administration, and Finance
• Attends all trainings and workshops regarding Medicaid current policies and regulations
• Print and work reports : Denials, Service Exceptions, Parent Consent, Current IEPs
• Responsible for receiving, verifying, and submitting physician invoices
• Maintain contracts between agencies
• New users
• Assists in outreach to families as it relates to Medicaid coverage
• Models non-discriminatory practices in all activities

Working Conditions :

Suitable workspace to carry out functions of position description.

Application Procedure :

Apply online at https : / / www.applitrack.com / nye / onlineapp /

Selection Procedure :

The NCSD screening and interview process will be followed.

NOTICE OF NONDISCRIMINATION ON THE BASIS OF SEX UNDER TITLE IX

Inquiries about Title IX may be referred to NCSD's Title IX Coordinator, the U.S. Department of Education's Office for Civil Rights, or both.

NCSD's Title IX Coordinator is :

Michelle Chelle Wright, PHR

Director of Human Resources

Nye County School District

484 S. West St.

Pahrump, NV 89048

775-727-7743, extension 300

title9coordinator@nyeschools.org

NCSD's nondiscrimination policy and grievance procedures can be located at :

https : / / bit.ly / NCSDPolicies-AdminRegs.

NCSD Policies and Administrative Regulations 0210 / 0210aR / 0210bR, 0212, and 6110 / 6110R)

To report information about conduct that may constitute sex discrimination or make a complaint of sex discrimination under Title IX, please refer to title9coordinator@nyeschools.org.

Contact information for OCR is available here : https : / / ocrcas.ed.gov / contact-ocr.

Equal Opportunity Employer

Nye County School District is an Equal Opportunity Employer. Nye County School District does not sanction or tolerate discrimination in any form in its programs and activities, on the basis of race, color, national origin, religion, gender, disability, age, pregnancy, sexual orientation, ancestry, veteran status, domestic partnership, genetic information, gender identity or expression, political affiliation, or membership in the Nevada National Guard, and provides equal access to the Boy Scouts and other designated youth groups.

Americans with Disabilities Act

It is the policy of Nye County School District to comply with all federal and state laws concerning the employment of individuals with disabilities and to act in accordance with regulations and guidance issued by the Equal Employment Opportunity Commission (EEOC).

Furthermore, it is the company policy not to discriminate against qualified individuals with disabilities in regard to application procedures, hiring, advancement, discharge, compensation, training or other terms, conditions and privileges of employment.

Nye County School District will reasonably accommodate qualified individuals with a disability so that they can perform the essential functions of a job unless doing so causes a direct threat to these individuals or others in the workplace and the threat cannot be eliminated by reasonable accommodation or if the accommodation creates an undue hardship to Nye County School District.

Please contact human resources (HR) with any questions or requests for accommodation.

Attachment(s) :

• Grant Site Representative JDcw.pdf
29 days ago