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Pahrump

    Medicaid Grant Site Representative #1985 - Pahrump, United States - NYE County School District

    NYE County School District
    NYE County School District Pahrump, United States

    3 weeks ago

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    Description
    Position Type:
    District Administrative Office/Grant Site Representative

    Date Posted:
    5/6/2024

    Location:
    Nye County School District-Southern Office

    Date Available:
    TBDDescription:
    Medicaid Billing Grant Site Representative

    Location:
    District Office- Southern

    Hours:
    3.75 hours/183 days

    Salary Range:
    $ $21.64 /hour

    Job Goal:
    Collaborates with all departments within the NCSD and with outside agencies, including Nevada Medicaid and Third-Party Billing Agency (currently PCG) in support of billing school-related services to Medicaid. Responsible for maintaining documentation, including electronic files and paper, and reporting. Serves as the primary point of contact for all Medicaid billing activites.

    Qualifications:
    • Minimum High School diploma or equivalent
    • Valid Nevada Drivers License
    Essential Duties and Responsibilities:
    • Adheres to HIPAA and FERPA compliance, maintaining security and confidentiality of all Medicaid and Special Education files and records.
    • Utilizes Medicaid 's provider portal to verify student eligibility and monitor for payment
    • Collaborates with staff to obtain parental consent forms and electronic signatures; enters related data in Third Party Billing program; maintains and tracks consent records
    • Provide qualifying IEPs to provider for physician authorization; enter related data in Third Party Billing program; maintain records and track services and authorizations
    • Analyze documentation for accuracy, follow-up, and changes in status
    • Assists in the management of the database as it relates to student records
    • Provides follow-up for billing discrepancies or missing information
    • Maintains compliance with Medicaid requirements and procedures
    • Stays informed of changes and developments in the Medicaid reimbursement program
    • Assists in implementing changes in billing procedures as it relates to eligible services Collaborates with Third Party Billing agency, Medicaid, state agencies, Special Education, Technology/Student Data Administration, and Finance to ensure accurate and efficient billing practices and reimbursement procedures. Communication...
    • Attends and contributes to meetings with Third Party Billing agency, Medicaid, state agencies, Special Education, Technology/Student Data Administration, and Finance
    • Attends all trainings and workshops regarding Medicaid current policies and regulations
    • Print and work reports: Denials, Service Exceptions, Parent Consent, Current IEPs
    • Responsible for receiving, verifying, and submitting physician invoices
    • Maintain contracts between agencies
    • New users
    • Assists in outreach to families as it relates to Medicaid coverage
    • Models non-discriminatory practices in all activities
    Working Conditions:
    Suitable workspace to carry out functions of position description.

    Application Procedure:
    Apply online at

    Selection Procedure:
    The NCSD screening and interview process will be followed.

    NOTICE OF NONDISCRIMINATION ON THE BASIS OF SEX UNDER TITLE IX
    Pursuant to Title IX requirements, Nye County School District ("the school district") does not discriminate on the basis of sex in the education program and activity it operates, including career and technical programs/courses, and employment.
    Nye County School District Title IX Coordinator:
    Michelle "Chelle" Wright, PHR
    Director of Human Resources
    Nye County School District
    484 S. West Street
    Pahrump, NV 89048
    , ext. 300

    Inquiries about the application of Title IX to the school district may be referred to the school district's Title IX Coordinator, or to the Assistant Secretary for Civil Rights of the U.S. Department of Education, 400 Maryland Ave., S.W., Washington, D.C. 20202, or both.

    Equal Opportunity Employer
    Nye County School District is an Equal Opportunity Employer. Nye County School District does not sanction or tolerate discrimination in any form on the basis of race, color, religion, age, gender, pregnancy, sexual orientation, national origin, ancestry, disability, veteran status, domestic partnership, genetic information, gender identity or expression, political affiliation, or membership in the Nevada National Guard.

    Americans with Disabilities Act
    In compliance with applicable disability laws, reasonable accommodations may be provided for qualified individuals with a disability who require and request such accommodations. Candidates are encouraged to discuss potential accommodations with the Department of Human Resources.

    Attachment(s):
    • Grant Site Representative


  • Nye County School District Pahrump, United States

    Position Type: · District Administrative Office/Grant Site Representative · Date Posted: · 5/6/2024 · Location: · Nye County School District-Southern Office · Date Available: · TBD · Additional Information: Show/Hide · Description: · Medicaid Billing Grant Site Representative · L ...

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