Primary Purpose

Coordinate and oversee district SHARS and Medicaid billing processes to ensure compliance with state and federal requirements, maximize reimbursement opportunities, and support collaboration between Special Education, Nursing Services, Finance, campuses, and third-party vendors.

Qualifications

Education/Certification

Bachelor’s degree preferred
Experience with SHARS, Medicaid billing, RMTS, school finance systems, or related compliance systems preferred

Special Knowledge/Skills

Knowledge of SHARS, RMTS, Medicaid billing procedures, and compliance requirements
Strong organizational, communication, and problem-solving skills
Ability to analyze reports and monitor compliance data
Ability to maintain confidentiality and manage multiple deadlines
Proficient in Microsoft Office and applicable software systems

Experience

Experience in public education, special education, nursing services, Medicaid billing, or related field preferred

Major Responsibilities and Duties

Coordinate district SHARS and Medicaid billing processes.
Manage district participation in RMTS systems and Medicaid billing platforms.
Assist with preparation and submission of the annual SHARS Cost Report.
Monitor staff licensure, credentialing, NPI information, and Medicaid billing eligibility requirements.
Provide training and support regarding SHARS documentation and compliance procedures.
Audit documentation, service logs, and billing records for compliance and accuracy.
Monitor Accuracy Reports and assist staff in correcting documentation discrepancies.
Collaborate with vendors, district departments, and campuses regarding Medicaid billing processes and concerns.
Maintain required SHARS, RMTS, and Medicaid documentation and records.
Assist with parent consent and Medicaid notification processes.
Develop and maintain procedures related to SHARS and Medicaid billing practices.
Support district efforts to maximize Medicaid reimbursement while maintaining compliance.
Stay current on state and federal Medicaid requirements and communicate updates to district staff.
Perform other duties as assigned.

Supervisory Responsibilities

None.

Mental Demands / Physical Demands / Environmental Factors

Tools/Equipment Used

Standard office equipment including personal computer and peripherals.

Posture

Prolonged sitting; occasional standing, walking, bending, and reaching.

Motion

Frequent use of hands for computer keyboard and data entry.

Environment

Work primarily conducted in an office setting with occasional travel between district facilities.

Mental Demands

Work with frequent interruptions; maintain emotional control under stress; manage multiple priorities and deadlines.

Special Services Funding Specialist