Effective immediately, the Human Resources Department will accept applications for the position of Third Party Billing and Due Process Specialist in the District Office for the 2023-24 school year. This 10-month position supports all buildings and works 6.5 hours per day plus half hour duty-free lunch, Monday – Friday. The rate of pay is $20.16 per hour, based on the 2021-23 Master Agreement between SSP #6 and Local No. 7312, Educational Support Professionals. This position reports to the Director of Student Services.
Job Summary
Coordinate third party billing process for the district, provide training to special education staff on third party billing requirements and compile necessary reports.
Job Functions
Manage, update, maintain and submit third party billing documents and records to the appropriate agencies.
Assist Special Education teachers and families in understanding and implementing necessary third party billing procedures.
Provide training to new and existing Special Education staff on third party billing requirements and processes in order to assure continued compliance with state and federal requirements.
Assist Special Education teachers in assuring the occurrence of required clinical supervision for third party services.
Coordinate the collection and dissemination of records for third party billing purposes.
Obtain and maintain physician orders for PCA services.
Obtain and maintain letters from private insurers to determine the availability of private reimbursements.
Create documents and forms necessary to expedite the collection of third party revenues.
Provide monthly reports to the Director of Student Services.
Regularly review service logs to assure quality record keeping and accuracy.
Maintain positive relationships with staff, families and agencies to facilitate growth in third party revenues.
Provide Department of Human Services with documentation necessary to set appropriate service rates.
Complete a yearly report for “settle up” by June 15 each year.
Attend local and state level training to continually increase knowledge base for third party responsibility to assure district compliance with state and federal regulations, and to continually pursue revenue opportunities via Minnesota Health Care Programs (MHCP).
Cultivate and develop inclusive and equitable working relationships with all students, staff, families and community members.
Support the work of the Special Education departments in schools through customer and due process support.
Assist IEP case managers with the scheduling of IEP team meetings; manage and maintain the building special education timeline electronic calendar. Manage room assignments for meetings and/or testing with front office staff.
Maintain the building special education master caseload spreadsheet; regularly inform IEP case managers of current status of caseload (timelines).
Maintain special education files.
Assist in requesting and acquiring school records for students new to the district.
Disseminate due process correspondence and paperwork in accordance with Pupil Data Privacy regulations and procedures.
Begin Sped Forms due process record by picking up the record and/or adopting the existing IEP.
Collaborate with district support staff to ensure due process is complete.
Process documents, complete filing, finalizing and mailings of required documents.
Adhere to staff and program guidelines and district procedures and policies.
Demonstrate prompt, regular and reliable attendance.
Other duties as assigned.