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Customer Support Assoc/Medicaid Analyst - REMOTE
UMass Med School | |||||||||||
United States, Shrewsbury | |||||||||||
June 04, 2023 | |||||||||||
Customer Support Assoc/Medicaid Analyst - REMOTE Minimum Salary
US-MA-Shrewsbury Job Location
2 months ago(4/1/2023 6:27 PM)
Overview POSITION SUMMARY: Under the direction of the Manager or designee, the Associate Medicaid Analyst performs complex and varied financial, administrative, and customer service functions in support of department specific projects, which may include RMTS coding or time study projects. The Associate Medicaid Analyst is also responsible for School-based Medicaid claiming processes and general operations, which require a high degree of independent action and the setting of priorities and procedures for accomplishing tasks. This position will also participate as a member of multiple project teams. Responsibilities ESSENTIAL FUNCTIONS:
Perform all activities related to the initial review of time study related data, including prioritization and directing the information to the appropriate Operations Coordinator
Qualifications REQUIRED QUALIFICATIONS:
Additional Information About School Based Claiming (SBC) Federal financial participation (FFP) is available through Title XIX and Title XXI of the Social Security Act to match expenditures by cities and towns, regional school districts and charter schools (collectively, Local Education Agencies (LEAs)) for the provision of medically necessary medical services provided to Medicaid-enrolled students. Also eligible for FFP are the LEA costs associated with performing Medicaid administrative activities related to the delivery of services and with performing qualifying outreach activities. Collectively, this program is referred to as the School-Based Medicaid Program. The SBC unit at HCFS works closely with Massachusetts and other states to develop, implement, and manage various activities that support direct service or administrative activity claiming to the Medicaid program. To that end, SBC develops, maintains, and supports solutions for states to compile, report and review eligible expenditures for Medicaid Administrative Claiming, Direct Service Cost Report Reconciliation and Settlement, Medicaid Eligibility Matching, Random Moment Time Studies or other equivalent allocation methods to support the identification of Medicaid related costs. With a deep knowledge of federal Medicaid regulations, SBC optimizes opportunities, while ensuring compliance with all applicable state and federal rules. Today, SBC supports over 50,000 users in 9 states for school-based other social service agency Medicaid FFP claiming programs. |