Medicaid Coordinator

Tri-FLEXSI Home Health Care • Missouri City, TX

2d

About The Position

The Medicaid PAS Coordinator is responsible for managing all Medicaid Personal Assistance Services (PAS) coordination functions for the agency, with a primary focus on authorizations, service delivery, and Electronic Visit Verification (EVV) compliance using HHAeXchange (HHA Exchange Plus) . This role ensures PAS services are delivered in accordance with Texas Health and Human Services Commission (HHSC) and Medicaid Managed Care Organization (MCO) requirements, while preventing service interruptions and compliance deficiencies.

Requirements

• High school diploma or equivalent required; associate or bachelor’s degree preferred
• Minimum of 2 years of experience with Texas Medicaid PAS
• Required experience using HHAeXchange (HHA Exchange Plus) for EVV
• Strong understanding of Texas PAS rules, EVV requirements, and HHSC compliance standards
• Experience working with Medicaid Managed Care programs ( STAR, STAR+PLUS )
• Proficient in EMR systems and Microsoft Office
• Excellent organizational, communication, and problem-solving skills
• Ability to manage high-volume workloads and strict deadlines

Nice To Haves

• Prior experience in a PAS or personal care services agency
• Experience training PAS attendants on EVV compliance
• Experience supporting Medicaid or EVV audits and corrective actions
• Bilingual (English/Spanish) preferred

Responsibilities

• Coordinate Medicaid PAS authorizations and reauthorizations , including tracking units and expiration dates
• Verify Medicaid eligibility and MCO enrollment for PAS members
• Manage and monitor EVV compliance through HHAeXchange (HHA Exchange Plus)
• Review, correct, and reconcile EVV visits to ensure alignment with authorized PAS services
• Resolve EVV exceptions, visit discrepancies, and missed visits in a timely manner
• Train and support PAS attendants and supervisors on proper EVV usage and documentation
• Collaborate with nursing, scheduling, and staffing teams to ensure authorized PAS hours are staffed
• Serve as liaison with Medicaid MCOs, case managers, HHSC, and EVV vendors
• Maintain accurate PAS documentation in EMR and EVV systems
• Support billing by ensuring EVV data supports claims submission
• Assist with EVV audits, Medicaid reviews, and HHSC surveys
• Monitor and communicate changes in Texas PAS and EVV regulations

Benefits

• Paid time off and paid holidays after 90 days

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED