WAYNE RESA Hiring For Assistant For Internal Operations at Wayne, MI, United States Full Time

Job Description

Assistant for Internal Operations – (Medicaid Reimbursement)
Internal/ExternalDuties and Responsibilities

• Review quarterly and annual Administrative Outreach Program financials for logic and accuracy
• Review district special education staff credentials to ensure appropriate staff licenses
• Facilitate completion of distribution and review of quarterly staff pool lists
• Monitor completion of Random Moment Time Studies
• Organize and analyze data and create s to monitor and provide feedback to local districts regarding Medicaid services (e.g. volume, status, notes, compliance with policy)
• Anticipate non-compliance in areas such as service ing and licensure and assist districts in meeting compliance standards and requirements
• Conduct internal audits (quality control) regarding student records and cost ing
• Provide support for School-Based Services, review, submission, and compliance
• Review print and electronic Personal Care and Transportation logs for correction and processing
• Monitor Occupational and Physical Therapist, Orientation & Mobility, and Nursing prescriptions for special education students
• Review and update Medicaid eligibility and national provider identification data for claim requirements
• Coordinate speech and hearing referrals with the physician, maintain documentation and generate s regarding speech referrals
• Monitor the Sanctioned Provider List and findings to the Executive Director of Finance and Compliance if applicable
• Monitor changes in policy and practice and maintain Wayne RESA’s Medicaid policy book to ensure compliance with Medicaid rules
• Pinpoint, track, and monitor billing software issues for claim compliance, temporary resolutions, enhancements, and fixes
• Serve as a member of the quality review team to review student files and cost s
• Assist and train special education staff in the use of Medicaid-related electronic information systems
• Facilitate regular, ongoing communication with local district staff to provide front-line support, respond to requests and resolve issues using various print and electronic methods
• Develop and update brochures and other forms for Medicaid service compliance for distribution to districts
• Assist in developing training materials for workshops and presentations to update district staff regarding Medicaid requirements
• Participate as an active team member in organizational projects as assigned
• Regular and predictable attendance
• Perform other duties as assigned

Education

• Two (2) years of experience required in an office environment performing higher-level duties exhibiting independent thinking and judgment (examples of duties: project management; contract development and monitoring; data collection analysis and ing; compliance interpretation and communication to stakeholders)
• Experience using relational databases
• Experience using Microsoft Office products including Word, Excel, PowerPoint, and Access
• Experience in the development and delivery of technical training for district personnel
• Knowledge of school-based Medicaid and special education processes, procedures, and requirements preferred
• Demonstrated skill in manipulating and analyzing data
• Demonstrated skill working with diverse populations
• Demonstrated client relation skills
• Demonstrated listening, verbal, and written communication skills
• Demonstrated ability to meet stringent deadlines and compliance requirements
• Proficiency in using the Microsoft Windows desktop operating system and Windows-based software

ExperienceCompensation:
Current WCSSF 12-Month Salary Schedule: Schedule D ($51,572 – $78,051 FY) and a comprehensive and competitive benefits package including health/dental/vision/life and long-term disability insurance. Generous time off including 19 paid holidays, sick and personal business days. Membership in the Michigan Public Schools Employee Retirement System www.michigan.gov/ors. The position is represented by the Wayne County Salaried Staff Federation Local 4479 (WCSSF). The current Collective Bargaining Agreement and additional information regarding employer sponsored health care plans can be found at: https://www.resa.net/about/s/transparency-ingApplication Process and Timeline: Internal and external applicants must complete and submit an online application at http://www.applitrack.com/resa/OnlineApp/default.aspx (Job ID #22316). This posting is open until filled.Wayne County Regional Educational Service Agency (Wayne RESA) provides leadership and services to the 33 local school districts and 100 Public School Academies (PSAs) that educate almost 275,000 students. Wayne RESA is committed to the process of continuous improvement through service, leadership, collaboration, and excellence, and is a goals-driven organization that empowers staff to maximize resources to support student achievement.WE ARE AN EQUAL OPPORTUNITY EMPLOYERJob Type: Full-timePay: $51,572.00 – $78,051.00 per yearBenefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

Work Location: One location