Paradise Valley Unified School District No.
CLAIMS TECHNICIAN (previously
Medicaid Claims Specialist)
1. Associate of Arts Degree or equivalent.
2. Three years of experience in an Accounts Payable or other
double entry bookkeeping system.
3. Experience with Microsoft Office products.
4. Effective communication with office and professional
staff delivering services eligible for Medicaid reimbursement.
1. Experience with Federal and State reporting of financial
2. Experience with medical billing software.
REPORTS TO: Director
of Finance and Budget
- Establish and maintain a good rapport with students,
employees and community
- Coordinate and administer Medicaid programs within
- Maintain current knowledge of state guidelines for
- Act as liaison person for the Medicaid programs.
- Provide training for District provider relating
- Review coding of staff in employee management system
to ensure accurate reporting for Medicaid reimbursement.
- Prepares outreach claims on a quarterly basis.
- Identify and enroll qualified staff as AHCCCS
providers for the Medicaid programs.
- Maintain provider database for renewal dates, renewal
fees, and license numbers.
- Maintain all required detailed information from
qualified providers of Medicaid services.
- Consult with district providers on medical record
keeping of data collection.
- Identify and enroll eligible students in the Medicaid
program. Notify providers as
- Compile & review provider data collection sheets
into a claim for submission to third party processor. Monitor claims for accuracy and
compliance with Medicaid guidelines.
- Monitor the amount of dollars received from the
- Follow up on claim payments due to the district.
- Maintain confidentiality when dealing with student
and district provider information
- Other job related duties as assigned.
TERMS OF EMPLOYMENT: Twelve
month work year. Salary and annual work
year to be established by the Board.
will be evaluated in accordance with provisions of the Board’s policy on
Evaluation of Support Employees.
ADA ACCOMODATIONS: Decisions
regarding appropriate and reasonable accommodation(s) will be based on the
merits of each situation. The principle criteria will be that of effectiveness.
Revised: 7/1/03; 7/1/05