Provider Specialist/Lead

Kings Community Action Organization•Hanford, CA

11d•$23 - $33

About The Position

The Provider Specialist/Lead is responsible for accurately completing monthly provider reimbursements based on attendance sheets and supporting the preparation of fiscal and reimbursement reports, projection analyses, and family-fee accounts-receivable reports. The position also assists with assessing, collecting, recording, and maintaining subsidized child-care family fees in accordance with California Code of Regulations Title 5. The Provider Specialist is an entry-level position. Advancement to Provider Specialist Lead is expected following satisfactory performance, fulfillment of requirements, and when a vacancy exists. The Lead performs at an advanced level and may train Provider Specialist staff on California Department of Social Services guidelines related to reimbursements in collaboration with the Child Care Manager. The Lead may also assist with reports, analysis, planning and implementation of policies and procedures, reimbursement and provider-trend tracking, training related to provider participation and enrollment systems, and compliance monitoring.

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 hours outside regular Monday–Friday, 8 a.m.–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.
Have a Motor Vehicle Report acceptable to KCAO's vehicle insurer.
Complete a health examination with tuberculin clearance.
Be able to be contacted outside regularly scheduled work hours in case of emergency.

Responsibilities

Calculate, process, and distribute monthly provider payments according to certified child-care hours, provider rates, and the current Regional Market Rate.
Collect and maintain provider files and direct-deposit information as directed for payment.
Respond to walk-ins and phone calls from family child-care providers about reimbursements and from families about family fees.
Assist in assessing, recording, collecting, and documenting individual client family fees for subsidized child-care programs.
Develop a bookkeeping system to record monthly family-fee transactions.
Accept family-fee payments, record them appropriately, 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 Child Care Enrollment Specialists and 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.
Perform other duties as assigned.
At the Lead level, potentially train Provider Specialist staff on reimbursement guidelines in collaboration with the Child Care Manager.
At the Lead level, potentially assist with reports, analysis, planning and implementation of policies and procedures, reimbursement data and provider-trend tracking, training, and compliance monitoring.