Medicaid Compliance & Billing Specialist

Marana Unified School District; Marana (AZ); On-site; USD 22,000 - 32,000; Full time

Job summary

Marana Unified School District is seeking a Medicaid Specialist to oversee Medicaid compliance, billing readiness, and program oversight. You will ensure AHCCCS and federal requirements, support providers, maintain documentation, and coordinate with PCG for audits.

The role involves RMTS management, staff roster updates, IEP eligibility reviews, and regular communication with PCG to maximize reimbursement and audit readiness.

Qualifications

• Knowledge of Medicaid programs, including AHCCCS policies and procedures.
• Understanding of IEP processes and special education requirements.
• Familiarity with RMTS procedures and reporting.
• Experience with SEAS, PCG, or AHCCCS systems preferred.

Responsibilities

• Establish AHCCCS accounts for students and providers to ensure eligibility.
• Manage provider accounts within AHCCCS APEP portal and submit pre-approvals for IEPs.
• Review IEPs for Medicaid eligibility and submit eligible IEPs for PCG approval.
• Monitor RMTS, maintain Staff Pool List, and coordinate with PCG audits.

Skills

Medicaid compliance

RMTS procedures

Documentation management

Communication skills

Education

High School Diploma

Tools

SEAS system

PCG portal

AHCCCS platform

Job description

Marana Unified School District is seeking a Medicaid Specialist to oversee Medicaid compliance, billing readiness, and program oversight. You will ensure AHCCCS and federal requirements, support providers, maintain documentation, and coordinate with PCG for audits.

The role involves RMTS management, staff roster updates, IEP eligibility reviews, and regular communication with PCG to maximize reimbursement and audit readiness.