Coordinator for Medicaid

Gadsden Independent School District•Anthony, NM

2d•Onsite

About The Position

This position is responsible for coordinating, implementing, and managing the Medicaid School Health Program (MSBS). The role involves providing training to staff, assisting with budget planning, and coordinating outreach services for students. The Coordinator ensures compliance with federal and state laws, monitors reports, and collaborates with various departments and external agencies to optimize the MSBS program. Additionally, the role involves identifying Medicaid eligible students, monitoring billable health services, and maintaining relevant databases and files. The Coordinator also supervises the Medicaid Clerk/Secretary/Specialist.

Requirements

Bachelors/Masters Degree in a Related Field
Three years experience related to Medicaid
Computer experience: Microsoft Office (Word, Excel Data Base Management) Outlook
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Ability to understand documents, define problems and draw valid conclusions.
Interpersonal skills to coordinate and collaborate.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Must be able to compare, analyze, communicate, coordinate, instruct, synthesize, compute, evaluate, compile, negotiate, deal with problems and manage multiple priorities.
PED mandated background check.

Responsibilities

Coordinate, implement, and manage the Medicaid School Health Program (MSBS).
Provide training to all nursing, special education staff, and others as required regarding reimbursable services.
Assist the Director of Nursing and Health Services with the budget planning and utilization of funds that are generated annually through the MSBS program.
Coordinate outreach services for uninsured and under insured students.
Assure compliance with all Federal and State laws and mandates required by the MSBS program.
Ensure district Medicaid documentation complies with all Federal and State laws and mandates required by the MSBS program.
Monitor, prepare and submit District, State and Federal reports related to MSBS.
Attend and participate in all meetings and trainings as required by NMHSD – MSBS.
Works with community agencies as needed to optimize the MSBS.
Consults with the New Mexico Human Services Department Health – Medical Assistance Division School Health Office, school district administrators, and other health care professionals to establish and revise policies, procedures, and programs specific to the Management of Medicaid in the schools.
Prepare written and oral reports for school district administrators and state agencies as requested or required by the NMHSD – MSBS Program.
Serve on district wide committees as required.
Participates as a team member sharing information and resources as appropriate.
Establish and lead a committee to review and assess the use of Medicaid funds in the schools.
Monitor Medicaid budget to ensure Medicaid expenditure is health related and an appropriate use of the funds.
Monitor annual Medicaid in the Schools budget and expenditures, process requisitions, and purchase orders not to exceed prescribed limits.
Maintain all records and documentation as prescribed by the MSBS program and district for review and audit purposes.
Identify training needs for health service providers, district administrators, and educational staff as related to the MSBS.
Facilitate, organize, and/or provide training to school district staff and administrators related to the MSBS Program.
Act as a resource person for the MSBS program.
Identify Medicaid eligible students on a monthly basis.
Monitor billable health services provided by all district health care providers who are qualified health service providers.
Perform outreach activities to assist underinsured and uninsured students with accessing health insurance and services.
Maintain database to track all providers, students, and Medicaid billable health services.
Maintain files and documentation for the MSBS program.
Track certifications and licenses of school health providers and submitted to 3rd party billing agency.
Maintains student and employee confidentiality.
Other duties as assigned by immediate supervisor or district administrative staff.
Promote and follow district policies and procedures.
Directly supervise the Medicaid Clerk/Secretary/Specialist to ensure compliance with the district and MSBS guidelines and regulations.