Provider Specialist/Lead

Kings Community Action Organization•Hanford, CA

About The Position

The Provider Specialist/Lead is responsible for accurate monthly provider reimbursement using attendance sheets, certified child care hours, provider rates, and current Regional Market Rates. The role also supports fiscal and reimbursement reporting, projection analysis, family fee accounts receivable, and the assessment, collection, recording, and maintenance of subsidized child care family fees in accordance with California Code of Regulations Title 5. The Provider Specialist is an entry-level position. Upon satisfactory performance, meeting the necessary requirements, and when a vacancy exists, employees may advance to Provider Specialist Lead. The Lead performs at an advanced level and may train Provider Specialist staff on CDSS reimbursement guidelines in collaboration with the Child Care Manager. Lead duties may also include assisting with reporting, analysis, planning and implementation of policies and procedures, tracking reimbursement data and provider trends, providing training on provider participation and enrollment systems, and monitoring compliance. KCAO is a private nonprofit serving Kings County, California. Its mission is to develop self-sufficiency in individuals, families, and communities through its programs.

Requirements

Provider Specialist: Associate degree in business administration, accounting, or a related business field, and two years of intake/eligibility worker experience preferred; OR high school diploma or equivalent and three years of relevant experience providing the skills, knowledge, and ability to perform the essential functions.
Provider Specialist Lead: Associate degree in business administration, accounting, or a related business field, and four years of intake/eligibility worker experience preferred; OR high school diploma or equivalent and five years of relevant experience providing the skills, knowledge, and ability to perform the essential functions.
Travel to and attend out-of-area meetings and conferences as required by funding sources.
Work variable hours and days, including outside regular Monday-through-Friday, 8 a.m. to 5 p.m. business hours.
Meet and maintain KCAO hiring requirements, including criminal record clearance through California DOJ, FBI, and the Child Abuse Centralized Index.
Have reliable, insured transportation and a valid California driver license, with a motor vehicle report acceptable to KCAO's vehicle insurer.
Complete a health examination with tuberculin clearance.
Be available to be contacted outside regularly scheduled work hours in case of emergency.

Nice To Haves

Intake/eligibility worker experience is preferred: two years for Provider Specialist and four years for Provider Specialist Lead.

Responsibilities

Calculate, process, and distribute monthly provider payments based on submitted certified child care hours, provider rates, and current Regional Market Rates.
Collect and maintain provider files and direct deposit information as directed for payment.
Respond to walk-ins and phone calls from child care providers regarding reimbursement and from families regarding family fees.
Assess, record, collect, and document individual client family fees for subsidized child care programs.
Develop a bookkeeping system to record monthly family fee transactions.
Accept and record family fee payments and submit them to the Finance Department daily for deposit.
Reconcile and adjust family fees and provider reimbursements to ensure accuracy.
Complete year-end family fee tax statements.
Prepare monthly family fee billing statements.
Participate in monthly audits of family data files to ensure compliance.
Substitute for the Child Care Enrollment Specialist or Provider Reimbursement staff when they are unavailable.
Travel to and attend out-of-town meetings and conferences as required.
Assist with outreach events and community presentations promoting child care services.
Participate in staff meetings and attend other meetings and seminars as directed.
As a Lead, train Provider Specialist staff on CDSS reimbursement guidelines in collaboration with the Child Care Manager.
As a Lead, assist with reports, analysis, planning and implementation of policies and procedures, reimbursement data and provider trend tracking, training on provider participation and enrollment systems, and compliance monitoring.
Perform other duties as assigned.