Rev Maximization Specialist II

Description

PURPOSE:

Performs administrative tasks and assignments relating to the Revenue Maximization Team. This includes the accurate and timely processing of IV-E applications, Medicaid and TANF, as well as processing the notification of other potential benefits, in accordance with Federal, State and Community Based Care regulations and requirements.

KEY RESPONSIBILITIES

•  Responsible for the timely and accurate gathering of information from appropriate resources (DCF, contracted agency and computer searches) to determine eligibility for federal funding (Title IV-E) as well as processing Medicaid applications for children in the care of the Community Based Care project.
• Responsible for the timely and accurate processing of annual redeterminations of IV-E and or Medicaid.
• Responsible for setting up and maintaining a revenue maximization case record which meets all Community Based Care, state and federal requirements. 
• Responsible for an assigned client caseload. This includes the monitoring of daily placements reports to assess the need for IV-E/Medicaid applications or Tanf eligibility determinations and updates.
• Responsible for the accurate entry of IV-E eligibility into required data systems within 24 hours of the initial placement or placement change. 
• Responsible for preparing the revenue maximization case record for audits and monitoring according to Community Base Care, federal and state regulations.
• Responsible for completing in FSFN initial Tanf applications and yearly renewals for children placed in Non licensed out of home care and in home living arrangements. Will review available Tanf due reports from FSFN at least twice weekly.
• Responsible for maximizing revenue for the Community Based Care project and serves the best interest of the child(ren) involved by pursuing third party benefits or income. Notifies Community Based Care accounting department to begin, suspend and / or change payee of child’s SSI/SSA income as applicable.
• When a child is placed with a Relative or Non-relative, responsible for gathering information to process Simplified Relative Caregiver Packets/Relative Caregiver Packets and Non-Relative Caregiver Packets. This includes reviewing the packet to ensure all information is in the packet and correct; following up with case manager to obtain missing information; recording the date packet sent in FSFN to Department of Children & Families, recording the notification of approval or denial of relative caregiver benefits in FSFN; notifing the case manager of approval/denial; forwarding all information processed to child’s file in records room. 
• Assist in providing training and technical assistance to CBC staff, DCF staff, contract service providers, clients and other authorities with regards to the revenue maximization program.
• Assist in maintaining policy/procedure manuals, processing special reports, attending conferences, workshops and meetings.
• Actively participates in efforts to increase efficiency and accuracy of the revenue maximization program.
• Responsible for working as a team, serving as a backup to other team members and their assigned caseload, as requested.
• Assist in on-going administrative tasks and special projects.

Supports the project’s QA function, QA data needs, and deadlines for reports and monitoring 

Ability to work remotely on a rotating schedule after fully trained, this period is 9-12 months.   

Starting hourly pay rate- $19.25

Requirements

EDUCATION / EXPERIENCE:

Bachelor’s degree in social services or related field preferred or Five years of experience working in related areas such as child protection or case management. Experience using FSFN or Florida system (ACCESS/Medicaid). 

Benefits

A comprehensive benefits program including: 

• 5 weeks of PTO accruals available   during the first year of employment
• 12 paid holidays
• Professional development
• Ongoing coaching and feedback
• Employee Assistance Program  (“EAP”)

Health Benefits with shared premium costs, including: 

• Medical
• Dental
• Life
• FSA/Dependent FSA
• Short-term disability
• Long-term disability
• 401(k) retirement