Related Services Billing & Compliance Coordinator

Overview

Related Services Billing & Compliance Coordinator at Rocketship Public Schools. This is a grant funded position that may be reassessed annually. You will ensure Medi Cal and Insurance related processes and reimbursements within the regional team are accurate, compliant, and efficient, collaborating with school operations, finance, and external partners to safeguard Medical & CYBHI compliance and appropriate reimbursement for services provided to students.

Responsibilities

• Medi Cal Compliance Leadership:
Ensure that all Medi Cal billing and documentation processes are compliant with federal and state regulations. Monitor changes in Medi Cal regulations and guidelines, ensuring all school staff are trained on updates and procedures. Oversee the preparation, submission, and follow-up of Medi Cal claims, ensuring accuracy and timely processing.

• Reimbursement Management:
Manage the reimbursement process for services provided to eligible students, ensuring that all claims are filed correctly and promptly. Conduct regular audits of reimbursements to ensure compliance with internal policies and external regulations. Serve as the primary point of contact for reimbursement-related inquiries, including communication with insurance providers, Medi Cal representatives, and school staff. Reconcile reimbursement accounts, ensuring all payments are processed, tracked, and documented appropriately.

• Process Improvement Efficiency:
Identify areas for process improvement within the Medi Cal billing and reimbursement workflow. Develop and implement strategies for streamlining the reimbursement process, reducing errors, and improving turnaround times. Lead initiatives to enhance the overall efficiency of compliance and reimbursement procedures across the regional network.

• Training & Support:
Provide training and ongoing support to school staff and regional team members on Medi Cal compliance and reimbursement best practices. Ensure staff is equipped with up-to-date resources and knowledge on Medi Cal eligibility, services covered, and billing procedures.

• Collaboration & Reporting:
Work closely with the finance and operations teams to ensure that Medi Cal-related revenue is properly reflected in school budgets. Prepare detailed reports on reimbursement activities, compliance status, and potential areas of concern for senior leadership. Assist with any audits or reviews related to Medi Cal compliance and reimbursement, providing requested documentation and explanations.

Qualifications

•

Education:

Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or a related field.

•

Experience:

Minimum of 3 years of experience in Medi Cal billing, reimbursement, or compliance, preferably in an educational or healthcare setting. Strong understanding of federal and state Medi Cal regulations and compliance requirements. Previous experience working in public schools or charter schools is a plus.

• Skills &

Competencies:

High attention to detail with the ability to manage large volumes of data accurately. Exceptional communication skills, both written and verbal. Strong organizational skills with the ability to prioritize tasks effectively. Ability to work independently and collaboratively in a fast-paced environment. Proficiency with reimbursement software and systems (e.g., Medi Cal billing software, spreadsheets, etc.). Problem-solving mindset and ability to navigate complex regulations.

Working Conditions

• This is an hourly, full-time position with a flexible schedule, typically requiring 40 hours per week. Some evening or weekend work may be required to meet deadlines or address urgent issues. The role involves working both remotely and in-office, with occasional travel to school sites for training or compliance reviews.

Compensation & Benefits

• Salary: $68,640 - $72,700 per year

• Compensation:
Commensurate with qualifications and experience, plus excellent health and wellness benefits, 403b retirement plan, flexible spending account (FSA), and generous paid time off.

Equal Opportunity

Rocketship Public Schools provides equal employment opportunities (EEO) to all employees and applicants for…