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Medicaid Billing Specialist (Internal Only)

Grand Forks Public School District
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Job Details

Job Description

Education: High school diploma or equivalent; associate or bachelor's degree preferred

Job Summary: Provide administrative and clerical support to the special education and business office departments, ensuring compliance with Medicaid regulations, and facilitating smooth communication among various stakeholders. The Medicaid Billing Specialist assists in processing Medicaid applications, maintaining accurate records, and coordinating with healthcare providers and beneficiaries.

Essential duties and responsibilities may include, but are not limited to the following:
  • Provide administrative support to the Medicaid department by handling phone calls, emails, and correspondence
  • Assist in the processing of Medicaid applications, ensuring accuracy and completeness of documentation
  • Maintain updated records of Medicaid beneficiaries, including demographic information and eligibility status
  • Coordinate with Medicaid providers to verify Medicaid coverage, resolve billing inquiries, and facilitate payments
  • Prepare and submit reports to Medicaid authorities, as required
  • Collaborate with other departments to ensure seamless integration of Medicaid services into overall organizational operations
  • Stay informed about changes in Medicaid policies, regulations, and procedures, and ensure compliance with all relevant guidelines
  • Participate in training sessions and professional development activities to enhance knowledge and skills related to Medicaid administration
  • Perform other duties as assigned by supervisors to support the efficient functioning of the Medicaid department

  • High school diploma or equivalent; associate or bachelor's degree preferred
  • Prior experience in administrative support roles, preferably in the school setting
  • Familiarity with Medicaid policies, procedures, and regulations is desirable
  • Proficiency in using office software such as Microsoft Office Suite (Word, Excel, Outlook) and database management systems
  • Excellent communication skills, both verbal and written, with the ability to interact professionally with diverse individuals
  • Strong organizational skills and attention to detail, with the ability to prioritize tasks and meet deadlines
  • Ability to maintain confidentiality and handle sensitive information with discretion
  • Demonstrated problem-solving abilities and the capacity to work independently as well as part of a team

Work Environment and Physical Demands: While performing the duties of this job, the employee is frequently required to sit, walk and stand. Lift sixty (60) lbs. occasionally, with the ability to reach, stand, walk, carry, bend, stoop, kneel, crouch, sit, and/or crawl. The ability to hear and see in order to communicate effectively as well as communicate clearly and concisely. Maintain mental capacity, allowing for effective interaction and communication with others. The job is performed under some temperature extremes and under conditions with some exposure to risk of injury and/or illness. Prolonged periods of sitting. Occasional travel for recruitment or training purposes.

Terms of Employment: Twelve (12) months, 32 hours per week

Evaluation: Annual written evaluation by the 1915I Program Manager


About Grand Forks Public Schools

  • The Grand Forks and Grand Forks Air Force Base Public School Districts work together in a unique arrangement to serve approximately 7,400 students who attend schools in the two communities. Approximately 1,600 people are employed, including over 750 teachers and over 850 support and administrative staff. Two grades 9-12 high schools, one alternative high school, three grades 6-8 middle schools, 10 elementary schools, one combined elementary and middle school, and one Head Start Program comprise the arrangement of the schools.

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Grand Forks

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