Account Specialist Senior - Medicaid

Sanchez - Special Education

Tempe (AZ)

On-site

USD 22,000 - 30,000

Full time

9 days ago

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Job summary

Tempe School District No.3.Account Specialist Sr. – Special Education - Medicaid is seeking an experienced administrator to coordinate the School-Based Medicaid Program in accordance with federal and state laws.

The role requires monitoring Medicaid rules, tracking credentials, and ensuring compliant billing for services in the district. The position reports to the Special Education department and involves collaboration with nurses, teachers, and administrators to maintain accurate documentation

Qualifications

Education and/or experience equivalent to a High School Diploma or GED.
Three (3) years administrative support experience, preferably in a human resources department.
State of Arizona Identity Verified (IVP) Fingerprint Clearance Card.
May require a valid Arizona Driver's License.

Responsibilities

Coordinate, and implement the School-Based Medicaid Program in accordance with all applicable federal and state Medicaid laws.
Serve as the district's liaison to AHCCCS and its third-party administrator for the Medicaid in Public Schools (MIPS) program.
Monitor state and federal Medicaid rules, attend required meetings, and update district procedures to stay compliant.
Track licensure and credentials of school health providers to confirm billing eligibility.
Gather and analyze program data to solve problems, and coordinate with other districts to improve compliance and reimbursement.

Skills

Public relations

HR administration

FERPA & HIPAA knowledge

Recordkeeping

Microsoft Office

Google Drive

Education

High School Diploma or GED

Tools

Microsoft Office

Google Drive

Databases

Spreadsheets

Word Processing

Job description

Account Specialist Senior - Medicaid

Tempe School District No.3 Sanchez - Special Education - Tempe, Arizona Open in Google Maps

Job Details

Job ID: 5947311

Application Deadline: Nov 02, 2026 11:59 PM (Mountain Standard Time)

Posted: Oct 01, 2026 6:00 AM (UTC)

Starting Date: Immediately

Job Description

CATEGORY: Classified

TITLE: Account Specialist Sr. – Special Education - Medicaid

JOB DESCRIPTION:

Coordinate, and implement the School-Based Medicaid Program in accordance with all applicable federal and state Medicaid laws.

QUALIFICATIONS:

Education and/or experience equivalent to a High School Diploma or GED
Three (3) years administrative support experience, preferably in a human resources department
State of Arizona Identity Verified (IVP) Fingerprint Clearance Card
May require a valid Arizona Driver's License

ESSENTIAL FUNCTIONS:

(Essential functions, as defined under the Americans with Disabilities Act, may include any of the following tasks, knowledge, skills, and other characteristics. This list is ILLUSTRATIVE ONLY, and is not a comprehensive listing of all duties and responsibilities performed by incumbents of this class.)

DUTIES AND RESPONSIBILITIES:

Program coordination and compliance

Serve as the district's liaison to AHCCCS and its third-party administrator for the Medicaid in Public Schools (MIPS) program.
Monitor state and federal Medicaid rules, attend required meetings, and update district procedures to stay compliant.
Track licensure and credentials of school health providers to confirm billing eligibility.
Gather and analyze program data to solve problems, and coordinate with other districts to improve compliance and reimbursement.

Random moment time study and data systems

Coordinate the random moment time study (RMTS), including monitoring response rates and following up on missed moments.
Maintain Medicaid-related data in the student information system and state databases.
Work with district departments to gather information needed for state and federal reporting.

Student eligibility and consent

Identify Medicaid-eligible students each month and share current eligibility with providers and special education teachers.
Collect and track the parental consent required under IDEA before billing, along with annual notifications.
Protect student health and education records under FERPA, HIPAA, and state and federal rules.

Documentation review and claims

Review service documentation for compliance before billing submission, including personal care, nursing, and specialized transportation.
Maintain a database tracking providers, students, and billable services.
Work with special education administrators and case managers for IEP documentation related to Medicaid claiming.

Staff training and support

Train special education providers and other staff on documentation standards, billing procedures, and RMTS responses.
Develop and update training materials, guides, and forms.
Give Medicaid updates and technical assistance at special education provider and nurse meetings.

Quarterly claiming and reporting

Prepare quarterly RMTS participant rosters for direct service and administrative claiming.
Prepare, submit, and reconcile quarterly reports as required by AHCCCS.
Review provider billing reports from the third-party administrator for compliance.

Annual reconciliation and compliance reviews

Prepare and submit the annual cost reconciliation and required state reports.
Establish checks to ensure data integrity.
Participate in AHCCCS or third-party administrator compliance reviews and audits.

Other duties

Perform other job-related duties as assigned.

KNOWLEDGE, SKILLS AND OTHER CHARACTERISTICS:

Knowledge of multi-line telephone systems.
Knowledge of customer service/public relations practices and procedures.
Knowledge of principles, practices and standards of human resource administration in assigned areas.
Knowledge of teacher certifications and highly qualified requirements.
Knowledge of appropriate district policies and procedures related to the assigned
Knowledge of applicable state and federal statutes, regulations and laws governing Special Education and Medicaid Billing
Knowledge of computer software utilized in tracking and maintaining reports and accounts
Knowledge of customer service/public relations practices and procedures
Knowledge of recordkeeping/file management practices and procedures
Knowledge of Microsoft Office and Google Drive Applications
Skill in problem analysis and resolution.
Skill verifying applicant information and completing background investigations.
Skill providing information in a clear and concise manner.
Skill utilizing, maintaining and updating computer software databases.
Skill establishing and maintaining effective working relationships.
Skill accurately inputting and retrieving information from computer databases
Skill utilizing verbal and written communication in the development of reports and records
Skill implementing policies and procedures related to area of assignment
Skill utilizing customer service/public relations techniques when responding to inquiries and complaints
Skill establishing and maintaining effective working relationships
Skill in, but not limited to:
Email
Word Processing
Spreadsheets
Databases
Presentation Software
Accounting and basic math
Use of standard office equipment
Ability to effectively communicate with others.
Ability to maintain confidential information.
Ability to work independently in absence of supervision.