Revenue Maximization Specialist

Mission Statement

The Childrens Network of Hillsborough is committed to working with the community to protect children and preserve families.

General Purpose of Job

The Revenue Maximization Specialist is responsible for completing and/or processing Title IV-E, Medicaid and TANF Temporary cash Assistance for Needy Families applications, determining clients eligibility, and submitting applications for approval. This includes processing annual redeterminations for Title IV-E, Medicaid and TANF. These responsibilities require the employee to communicate and liaison with case managers, clients, internal staff and the DCF CIC Unit Department of Children & Families Child-In-Care to support and assist in ensuring the client obtains Medicaid coverage and receives appropriate funding for services provided. The Revenue Maximization Specialist must be able to utilize the FSFN Florida Safe Family Network system and Chapter 39 of the Florida Statutes.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Duties and Responsibilities

• Accurate and timely processing of new Title IV-E applications for out-of-home care clients, which includes:
  • Initiate new Title IV-E application in FSFN within five (5) calendar days of the childs out-of-home placement
  • Determine childs eligibility for funding for Title IV-E programs within DCF and Federal guidelines
  • Submit the completed application to supervisor for approval within ten (10) calendar days of childs out-of-home placement
• Accurate and timely processing of new Adoption Title IV-E applications for children in Adoption placement, which includes:
  • Determine childs IV-E eligibility within two (2) calendar days of receiving the file from case management
  • Initiate Adoption Title IV-E application in FSFN within three (3) calendar days of determining eligibilit
  • Submit completed application to CIC within ten (10) calendar days of adoption placement
• Completes and submits Medicaid application to the DCF CIC Unit upon notice of a childs out-of-home placement to ensure timely Medicaid coverage.
• Completes Medicaid re-determinations within 30 calendar days of request from CIC Unit.
• Monitors the TANF application and eligibility re-determination processes to ensure compliance with DCF and Federal guidelines. Assists case managers and adoptive parents in completing TANF applications for clients in relative, non-relative and adoptive placements. Ensures TANF determinations do not expire before re-determinations are completed.
• Manage and respond to inquiries regarding Medicaid billing and primary care physician changes from foster parents, case managers, relative and non-relative caregivers, and Protective Investigators.
• Maintains accurate eligibility records for all clients with the appropriate paperwork complied for the DCF Contract Oversight Unit.

Working Hours

CNHCs work week is Monday through Friday, 40 hours per week. Your supervisor will advise you of your work hours; however, business office hours are 8:00 am to 5:00 pm.

Travel

Travel in and outside of Circuit 13 (Hillsborough County) is required.

Training

All employees must complete fifteen (15) hours of on-line or classroom Training on an annual basis. If the employee is a Certified Child Welfare Professional, Training hours must total twenty (20) annually.

Supervisory Responsibilities

There are no supervisory responsibilities for this position.

Education / Certification / Experience

• Bachelors degree from a four-year accredited college or university (an emphasis in social services is preferred)
• Official transcripts are a mandatory requirement
• Current Certified Child Welfare Professional is preferred
• Specialized training and/or experience in federal funding related to child welfare is preferred
• Minimum of one (1) year of experience in child welfare

Skills and Abilities

Must be able to operate standard modern office machinery, including fax, telephone, calculator, computer, scanner, printer, copier, and mail machine Must be competent with Microsoft Office Suite programs, including Word, Excel, Power Point, and Outlook. Must be competent with basic e-mail protocol and procedures including sending, receiving, replying, attachments, and meeting scheduling; excellent written and oral communication skills; effective listening skills; ability to work as a team member, and the ability to work in a multi-cultural environment. Must possess excellent organizational skills and abide by the highest standards of confidentiality.

Pre-employment Requirements

• Certificates, License, Registrations, backgrounds, drug screens, Etc.
• Valid drivers license required, with proof of insurance
• Clean drivers license check is a requirement
• No special certification or registration is required for this position
• Criminal background screening (fingerprinting) (Local Law Enforcement and FBI/FDLE)
• Drug Screening is a requirement
• Childrens Network participates in E-Verify

Other Requirements

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, board of directors, clients, customers, and the public. Ability to speak effectively before groups of customers or employees.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, percentages, ability to draw and interpret bar graphs.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to be proactive, as well as handle problems involving several concrete variables in standardized situations.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job requires the ability to sit for extended periods; walk; stand; use hands to finger, handle or feel; reach with hands and arms; stoop, kneel or crouch; talk and hear. This job requires visual acuity sufficient to read and to operate standard modern office machines. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is administrative work in an indoor office environment with a moderate noise level (business machines, printers, computers, telephones).

ADA: Childrens Network of Southwest Florida, LLC will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.

EEO: Childrens Network of Southwest Florida, LLC does not discriminate based on race, national origin, gender, religion, veteran status, or disability in employment, in provision of services, or in access to programs.

Childrens Network of Southwest Florida, LLC is a Drug-Free Workplace.

If you are currently an employee of Childrens Network of Hillsborough, LLC, or one of our Case Management Organizations, it is necessary that you notify your current Supervisor, prior to applying.