Third Party Billing Coordinator

St. Cloud School District 742
life insurance, vision insurance
United States, Minnesota, St. Cloud
May 05, 2025
POSITION: Coordinator, Third Party Billing TYPE OF POSITION: Exempt 12 month Hours may vary based on program needs REPORTS TO: Executive Director of Special Education SUPERVISION: None SALARY: $65,000 - $85,000/year (dependent on qualifications and experience) QUALIFICATIONS: Required Bachelor's Degree Experience with staff training and systems development Knowledge of Minnesota health care provider billing/payment services and special education procedures. Data analysis, coordination, and organizational skills Excellent computer skills (Excel, Word, Powerpoint) Excellent oral and written communications skills Preferred One year third-party billing experience POSITION SUMMARY: Coordinates and organizes systems for third party billing ensuring that the Minnesota Department of Human Services (MDHS) requirements are met. Provides staff training on third party billing. Applies knowledge of special education due process procedures, third party billing, organizational information, and office procedures to obtain third party payment for students with eligible physical health and mental health services. ESSENTIAL DUTIES: Program Expansion/Marketing Develops and implements strategies to increase third-party revenues Communicates the third-party billing program to staff and coordinates processes for parent consent for billing. Determines student eligibility for third party billing based on parent consent forms, review of special education documents, provider qualifications, and use of MN-ITS Eligibility Verification System Establishes and maintains a system for obtaining necessary documents for billing Maintains data bases, supporting documentation, training documentation, PCA services documentation, CTSS documentation, student files, and reminder systems according to requirements established by the Minnesota Department of Human Services Serves as administrator for MN-ITS Eligibility Verification System, the web-based billing system Compiles and reports information from data bases and spreadsheets for monthly, quarterly, and yearly reporting of personnel performance, volume of students processed, data to calculate claim rates, and revenues received, and to meet State and Federal mandatory reporting requirements Composes letters and other correspondence, creates forms, charts, graphs, handouts, and PowerPoint presentations as needed Compliance Performs self-audits using Minnesota Department of Human Services monitoring criteria, summarizes results and develops corrective action plans as needed Prepares documentation and responses for external audits Monitors Minnesota Department of Human Services and Minnesota Department of Education website for updates and changes in Third-Party Billing; monitor, interpret, and implement legal changes Obtains certifications as necessary Provides support to research assistants and Third-Party Billing clerical staff as needed Coordinates with representatives of special education information systems for compliance with state requirements. Training Provides training and information to district personnel related to Third-Party Billing Provides current, historical, and projected data on a variety of statistics to staff upon request, and for grant writing purposes Serves as a liaison and resource for special education supervisory staff and building special education staff by answering questions and providing information Participates in the Third-Party Billing Regional group Research and Development Conduct studies, research, surveys, focus groups, projections, evaluations, and other investigative activities for the special education and student services programs; provide written and oral presentations of findings and recommendations Establishes systems and conducts activities to gather, compile, and analyze data to establish billing rates Other Duties as Assigned PHYSICAL FACTORS: Frequent: walking, standing, sitting, hearing, talking, and seeing BENEFITS: We offer a comprehensive benefits package for employees working a minimum of 30 hours per week. This includes health, dental, and vision insurance, Flexible Spending Accounts for medical and dependent care, as well as life insurance, accidental death and dismemberment (AD&D) coverage, and long-term disability insurance. (Temporary, seasonal, and substitute positions not eligible.) All Employees of Saint Cloud School District 742 are responsible to support District goals, to work collaboratively and respectfully with diverse populations of staff, students and parents and to model and promote a welcoming working and learning environment. Employees are expected to support and adapt to change and to demonstrate commitment to continuous performance improvement. Employees are responsible to establish and maintain effective communication with students, teachers, support staff, colleagues and parents, respect confidential matters, encourage a safe and secure environment throughout the District, and to be dependable and accountable in the performance of their work. St. Cloud School District 742 prohibits sex discrimination in any education program or activity that it operates. Individuals may report concerns or questions to the Title IX Coordinator. The notice of nondiscrimination is located at https://www.isd742.org/about-us/title-ix. It is the prerogative of the District to assign staff so as to best meet the needs of the District. For inquiries, please contact jobs@isd742.org