Special Education Medicaid Specialist

Special Education Medicaid Specialist JobID: 15130 Position Type:Specialist/Supervisor/Technician/ Specialist Date Posted:1/22/2026 Location:ELSC Job Title: Special Education Medicaid SpecialistReports To: Executive Director of Special ServicesContract Length: 12 MonthsSALARY:$55,000EXECUTIVE SUMMARYThe Special Education Medicaid Specialist is responsible for effectively and efficiently managing special education records, claims, and billing. The primary role includes management of all Medicaid claims and processes. Additional responsibilities include billing for partner agencies and other responsibilities to support the efficient operation of Special Education procedures and management tasks. This position's primary responsibility the first six months is to lead the District away from an outside Medicaid provider to the District managing its own Medicaid billing.ESSENTIAL DUTIES AND RESPONSIBILITIESinclude the following: Adheres to Board policies, district procedures, and contractual obligations. Develops, maintains, manages and balances the Medicaid billing reimbursement program for all SPED programs. Develops procedures for Medicaid documentation and reimbursement and ensures compliance. Demonstrates professional and instructional leadership, models professional and ethical behavior, and maintains professional confidentiality. Monitors Medicaid billing data and systems for both direct and administrative claims. Submits and monitors all aspects of Medical billing, re-billing, and payments in accordance with Medicaid policies and procedures. Coordinates all billable services (i.e., skilled nursing, psychological, behavior, physical and occupational therapy, etc.). Creates, maintains and provides supporting documentation and provider qualifications. Oversees and administers Medicaid compliance programs such as time study, narrative logs, and coding issues. Creates procedure manuals, documentation, checklists, or guidelines as necessary. Prepares quarterly reports and present information to the Executive Director for Special Services Prepares, maintains and reviews all student Medicaid files. Ensures files meet requirements for annual audits or review. Stays abreast of changes and developments in the Medicaid reimbursement program and attends Medicaid meetings or continuing education sessions conducted by state or federal agencies. Acts as District liaison with appropriate government agencies. Oversees all components of Medicaid claiming responsibilities, including collection and organization of claims, accurate reporting and alignment with Medicaid procedures and requirements, and submitting required claims and reports in a timely manner. Designs and provides training and support to teachers, para-educators, and other staff involved in Medicaid claiming. Manages and maintains accurate special education records. Works collaboratively with staff at the district, building, AEA, and state level. Handles customer complaints and directs complaints to the proper person. Maintains confidentiality of sensitive data and student information. Completes other duties as assigned. ESSENTIAL FUNCTIONS:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation(s) may be made to enable individuals with disabilities to perform the essential functions. Ability to work as a member of a multi-disciplinary team. Ability to develop professional learning and train school personnel Excellent written and oral communication skills including proficiency in grammar, spelling, punctuation, and related communication skills, including proofreading, editing, and creating original documents. Ability to work independently without supervision and as a team member. Ability to work under pressure with frequent interruptions, problem solve independently and with others, and take initiative. Ability to organize, prioritize, and assume responsibility. Ability to take initiative, be creative, and generate enthusiasm in others. Capable of representing the District in a professional manner, which includes but is not limited to confidentiality, collegiality, and the ability to obtain and utilize additional training, if necessary. EDUCATION and/or EXPERIENCE: Bachelor's Degree Experience with Medicaid Claiming Experience with leading change in an organization LANGUAGE SKILLS: Ability to read, analyze, interpret, and implement ideas contained in technical documents, assessment data, professional journals and regulations. Ability to effectively write reports and communications to colleagues, parents and staff. Ability to effectively present information orally and respond to questions from administrators, teachers, staff and students Demonstrated ability to use and manipulate data in Microsoft Excel or other spreadsheet program. REASONING ABILITY: Ability to solve problems effectively. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. OTHER SKILLS and ABILITIES: Ability to establish and maintain effective working relationships with DE, staff and the school community. Ability to speak clearly and concisely both in oral and written communication. Ability to perform duties with awareness of all district requirements and Board of Education policies. Knowledge of district policies, state and federal laws and regulations related to Medicaid program administration in education. PHYSICAL DEMANDS:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is frequently required to stand; walk; use hands and fingers to handle and/or feel objects, tools or controls; talk and hear. The employee frequently must squat, stoop or kneel, reach above the head and forward 0 -24 inches and on occasion up to 36 inches. The employee continuously uses hand strength to grasp items. The employee will frequently bend or twist at the neck and trunk more than the average person while performing the duties of this job. The employee must frequently lift and/or move up to 50 pounds 0 - 12 feet and occasionally up to 20 feet, such as curriculum materials, desks, chairs, and boxes. The employee will sometimes push/pull items such as tables and carts. Specific vision abilities required by this job include close vision, color vision and the ability to adjust focus while supervising students and working with computers, written materials, reports, assessment data, etc.WORK ENVIRONMENT:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made too enable individuals with disabilities to perform the essential functions.The noise level in the work environment is usually quiet. The position requires the commitment of professional working hours that may require the employee to extend beyond a typical 7:30 a.m. to 3:30 p.m. workday. The employee will frequently work in different areas of the classroom including in/at desks, on or near the floor, standing, in movement while supervising indoor and outdoor activities, etc. The employee will usually work in indoor temperatures but will work outdoors or when supervising students outside of the classroom.The information contained in this job description is in compliance with the Americans with Disabilities Act (A.D.A) and is not an exhaustive list of the duties performed for this position. Additional duties are performed by the individual holding this position and additional duties may be assigned.The Cedar Rapids Community School District is an Equal Opportunity Employer. The district does not discriminate on the basis of race, creed, color, gender, national origin, religion, age, marital status, sexual orientation, veteran status, or disability.

Created: 2026-03-04