Compliance Specialist – Medicaid Monitor - Specialized Student Services

Job Summary

To coordinate all processes related to the Medicaid in the Public Schools program; and to support district personnel in the billing and compliance procedures to ensure accuracy.

Key Responsibilities

• Communicate with billing agency and Medicaid agencies to respond to inquiries and/or resolve issues
• Maintain Medicaid records to include service logs and online billing system to ensure accuracy of recordkeeping
• Prepare student rosters as required for billing
• Prepare records and/or reports for state and federal audits and compliance reviews
• Cookordinate pre-authorization process as required by Medicaid
• Update and maintain list of current district Medicaid service providers
• Schedule and provide training to district personnel on Medicare billing procedures
• Attend meetings and trainings, as required, to remain knowledgeable of Medicaid requirements and procedures
• Regular and on-time attendance required
• Perform other related duties, as assigned, to ensure the efficient and effective functioning of the work unit
• Assist other personnel as may be required for the purpose of supporting them in the completion of their work activities
• Aids with other assigned duties as appropriate to the area of assignment

Required Qualifications

• High School education or equivalent required
• Minimum two years of significant clerical experience

Skills & Competencies

• Models the attributes and skills of the MPS Portrait of a Graduate
• Demonstrates commitment to the MPS Promise that every student is known by name, served by strength and need, and graduates ready for college, career and community
• Moderate proficiency in typing, with good accuracy; above average test battery; good math aptitude
• Computer proficiency to include basic software applications (i.e. Word, Excel, etc.), Synergy; ability to utilize database queries
• Skilled in accurate recordkeeping with an emphasis on working with numbers
• Knowledge of school policies, procedures and organization preferred
• Ability to communicate effectively (verbal and written) and to establish and to maintain effective working relationships with district personnel and outside agencies
• Ability to organize, to prioritize and to meet deadlines with accurate attention to detail while working with frequent interruptions and minimum supervision
• Ability to assume responsibility, exercise good judgment and maintain confidentiality

Work Environment & Physical Requirements

• Works in an office within the school district’s administrative building or a school campus
• Frequently visits different schools to observe classrooms, provide training, and ensure compliance with special education policies
• Regularly attends meetings with school administrators, special education teachers, parents, and district leadership
• Works closely with various stakeholders, including teachers, parents, and legal teams, to ensure compliance with Individualized Education Programs (IEPs) and other regulations
• Spend significant time sitting at a desk using a computer, reviewing reports, and completing documentation
• Occasionally lifts or carries materials such as binders, files, and laptops (typically under 20 lbs)

Equal Opportunity Employer Statement

Mesa Public Schools is an equal opportunity employer and complies with all applicable federal, state, and local laws regarding equal employment opportunity and anti-discrimination. The District strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. Applicants and employees may contact Human Resources to request reasonable accommodations needed to perform the essential functions of this position.