MAJOR RESPONSIBILITIES AND DUTIES
 

1.        

Ensures billing is in compliance with the Texas Medicaid Healthcare Partnership (TMHP); Medicaid Administrative Claims (MAS), and School Health and Related Services Program (SHARS)

2.        

Prepare and present and/or facilitate training and information exchange to TISD staff and service providers

3.        

Keep current on SHARS Medicaid policy, guidelines and regulations and attend necessary TASB and TMHP meetings and workshops

4.        

Serve as liaison between TASB and TISD.

5.        

Maintain Site-Based Medicaid Administration Reimbursement Tracking (SMART) database to ensure billing information is correct by running student import; transmit data to TASB; add new service providers; create default sessions for new Medicaid Special Education students; maintain default sessions to comply with the Individual Educational Plan (IEP)

6.        

Review IEPs to assure all billable services the student is receiving is billed and that staff are appropriately documenting billable services in the student IEPs.

7.        

Download demographic information of all Special Education students from iSeries into SMART system; upload students’ Medicaid numbers to student file on iSeries monthly

8.        

Generate and distribute service tickets from SMART, customizing as needed for TISD

9.        

Monitors all service tickets returned to insure all information is complete and correct and maintain auditable files

10.    

Maintain auditable files, and gather and prepare for audits, and assist during audits

11.    

Generate claims using SMART software, follow-up and resubmit rejected claims as necessary

12.    

Generate financial and other reports as needed.

13.    

Deliver and pick up prescriptions for Physical and Occupational Therapy in a timely manner

14.    

Verify revenue amount, received by the District from TMHP, balances with records on the SMART system.

15.    

Receive and direct incoming telephone calls

16.    

Complete Child Find referrals by asking appropriate questions and completing the form.

17.    

Process, organize and file Child Find referrals

18.    

Maintain database/logs on referral information using Excel

19.    

Type, print and mail all “Notice for Evaluations”.

20.    

Organize and prepare evaluation folders for testing days.

21.    

Call parents to remind them of testing sessions.

22.    

Organize and file test data and student information

23.    

Effectively communicate with evaluation team staff (audiologist, and preschool and autism assessment team personnel)

24.    

Access and work with student information through eSped and TEAMS

25.    

Is prompt, timely, accurate, and thorough in completing assignments and conducting district business

26.    

Meets attendance standards and complies with notification procedures for absences

27.    

Maintains a positive attitude with staff and community

28.    

Complies with district policies, safety procedures, and directions from supervisor

29.    

Performs other tasks as may be assigned.