Assistant Medicaid Analyst: Medicade Comp & Reimbursement 12 Months/40 Hours

RCSD • Rochester, NY

2d • Onsite

About The Position

This is a technical position in a school district responsible for supporting the Medicaid compliance and reimbursement operation and services. Duties involve the review and audit of eligible services, and documentation of service delivery. The employee reports directly to, and works under the general supervision of, a higher level staff member. Supervision is not a responsibility of this position. Does related work as needed.

Requirements

• Good knowledge of Medicaid eligible services regarding compliance with State and Federal guidelines, regulations, and laws.
• Good knowledge of applicable laws, rules and regulations.
• Good knowledge of employers policies relating to Medicaid reimbursement.
• Ability to organize information into reports.
• Ability to review claims, reimbursements, and reports.
• Ability to monitor related services provided.
• Ability to determine if billing is complete and accurate.
• Ability to develop and maintain an intranet site.
• Ability to assist in the development of procedure manuals and training.
• Ability to maintain documentation for Medicaid claims and reimbursement.
• Ability to develop and maintain databases.
• Ability to establish and maintain effective working relationships.
• Ability to communicate effectively both orally and in writing.
• Analytical ability.
• Good judgment.
• Graduation from high school or possession of an equivalency diploma.
• Graduation from a regionally accredited or New York State registered college or university with an Associates degree in Accounting, Finance, Business Administration, or Business Management, plus one (1) year of paid full-time or its part-time equivalent experience in the review and submission of Medicaid reimbursement forms, or insurance or medical claims.
• Three (3) years of paid full-time or its part-time equivalent experience in the review and submission of Medicaid reimbursement forms, or insurance or medical claims.
• An equivalent combination of education and experience.

Nice To Haves

• Physical condition commensurate with the demands of the position.

Responsibilities

• Reviews and audits Medicaid eligible services for the district and outside agencies for compliance with State and Federal guidelines, regulations, and laws.
• Reviews documentation of service deliveries to support claims for Medicaid reimbursements.
• Reviews quarterly progress reports, assessments, contact logs, statements of accessibility, prescriptions, orders, and referrals.
• Develops and maintains the districts Medicaid intranet site for use as a resource and hub for documents, forms, training materials, information, and announcements.
• Assists in the development of procedure manuals and training for the districts outside agencies.
• Maintains supporting documentation for all claims submitted for Medicaid reimbursement in compliance with all State and Federal guidelines, regulations, and laws.
• Develops and maintains multiple databases necessary to insure compliance with State and Federal Medicaid guidelines, this includes Medicaid consent, related services attendance, quarterly progress notes, Medicaid eligible students, demographics, and un-billable students.
• Submits documentation, and reviews audit defensible claims for Medicaid reimbursement.
• Submits claims for Medicaid reimbursement using New York States software system.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree