Compliance Specialist - Medicaid Monitor - Special Education

Mesa Public Schools; Mesa (AZ); On-site; Full time

Job summary

Mesa Public Schools is seeking a full-time position to coordinate Medicaid processes, ensuring compliance and support for district personnel. The role involves recordkeeping, communication with agencies, and training staff on billing procedures. Ideal candidates will have clerical experience and strong organizational skills.

Benefits

Vacation

Sick leave

Holidays

Retirement matched

Health insurance

Life insurance

Qualifications

• Minimum two years of significant clerical experience required.
• Moderate proficiency in typing with good accuracy.

Responsibilities

• Communicate with billing agency and Medicaid agencies.
• Maintain Medicaid records and prepare student rosters.
• Coordinate pre-authorization process as required by Medicaid.

Skills

Typing

Communication

Recordkeeping

Organization

Confidentiality

Education

High School education or equivalent

Tools

Word

Excel

Synergy

Job description

• Forbes named Mesa Public Schools in their list of 2024 Best Employers in Arizona.
• East Valley Tribune names Mesa Public Schools as Best Place to Work in East Valley for multiple years.

Employment Type :

Full-time (40 hours per week)

Base Hourly : 20.76

Class / Calendar : B22, 10.25 months

Benefits :

Vacation, sick leave, holidays, retirement matched through the Arizona State Retirement System, health, and life insurance

Performance Pay : Available annually

1% of the base hourly rate granted for each year of verified like experience (within ten years) beyond the requirement, up to a ten-year maximum

1% of the base hourly rate awarded for an AA or higher degree if not required for the position

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 :

This section outlines the primary duties and key responsibilities required for this role, detailing the essential tasks and functions necessary to perform the job successfully, with or without reasonable accommodations.

• 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
• Coordinate 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
• Assists with other assigned duties as appropriate to the area of assignment and Mesa Public Schools

Required Qualifications :

To be eligible for this position, an applicant must meet the following required qualifications. Verification of these required qualifications is necessary.

Education :

• High School education or equivalent required

Experience :

• Minimum two years of significant clerical experience

This section outlines the critical skills and competencies required to excel in this role, enabling effective performance, adaptability, and consistent achievement of job responsibilities.

• 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 :

This section outlines the work environment and physical conditions associated with this role. It includes information on whether the job involves working in an office, classroom, or other settings, and if there are physical activities like standing, walking, or lifting.

• 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
• Spends 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 pounds)

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.

Create a job alert for this search