Revenue Maximization Specialists

Children's Network of Hillsborough • Tampa, FL

1d • Onsite

About The Position

The Revenue Maximization Specialist is responsible for completing and processing applications for Title IV-E, Medicaid, and TANF (Temporary Assistance for Needy Families), including annual renewals. They determine client eligibility and submit applications for approval. This role involves working closely with case managers, clients, internal staff, and the Department of Children and Families (DCF) Child-In-Care (CIC) Unit to help ensure clients receive Medicaid coverage and appropriate funding for services. The specialist must be able to use the Florida Safe Families Network (FSFN) system and understand Chapter 39 of the Florida Statutes.

Requirements

• Bachelor’s degree from a four-year accredited college or university required
• Proficiency in FSFN, Microsoft Office applications, and other electronic recordkeeping systems.
• Ability to maintain confidentiality, prioritize multiple responsibilities, and work independently while ensuring compliance with agency, state, and federal requirements.
• Proof of education is required
• Valid driver’s license required, with proof of insurance
• Criminal background screening (fingerprinting) (Local Law Enforcement and FBI/FDLE) is a requirement
• Drug Screening is a requirement
• Ability to read, analyze, and interpret eligibility policies, government regulations, and agency procedures.
• Ability to effectively communicate verbally and in writing with case managers, caregivers, adoptive parents, state agency representatives, and other stakeholders.
• Ability to prepare clear and accurate correspondence, reports, and documentation while maintaining confidentiality and professionalism.
• Ability to present information and respond to questions in a courteous and effective manner.
• Ability to perform basic mathematical calculations and apply mathematical concepts to determine eligibility, verify financial information, and ensure accuracy of benefits-related data.
• Ability to calculate percentages, review income and resource information, analyze numerical data, and identify discrepancies in eligibility determinations.
• Ability to compile and maintain accurate statistical and case-related records and prepare reports as required.
• Ability to interpret and apply complex federal, state, and agency regulations to determine client eligibility and resolve eligibility-related issues.
• Ability to collect, analyze, and evaluate information from multiple sources, identify discrepancies, and make sound decisions in accordance with established policies and procedures.
• Ability to prioritize responsibilities, exercise independent judgment, and solve problems effectively while maintaining accuracy, confidentiality, and compliance with program requirements.

Nice To Haves

• Experience in the child welfare field is preferred
• Specialized training and/or experience in federal funding related to child welfare is preferred
• Knowledge of Title IV-E, Medicaid, TANF, and related eligibility programs, including applicable state and federal regulations is preferred.

Responsibilities

• Processes and maintains Title IV-E eligibility services for children placed in out-of-home care in accordance with Department of Children and Families (DCF), federal, and agency requirements.
• Initiates Title IV-E applications in the Florida Safe Families Network (FSFN) within required timeframes and determines eligibility for funding programs based on applicable guidelines and regulations.
• Completes, reviews, and submits Title IV-E applications for supervisory approval within established deadlines.
• Determines eligibility for Adoption Title IV-E benefits and completes all required application activities, including data entry, documentation, and submission to the appropriate DCF units.
• Completes and submits Medicaid applications for children entering out-of-home care to ensure timely access to medical coverage.
• Processes Medicaid re-determinations and maintains ongoing eligibility in accordance with state and federal requirements.
• Monitors Temporary Assistance for Needy Families (TANF) applications and re-determinations to ensure continued eligibility and compliance with program requirements.
• Provides guidance and technical assistance to case managers, foster parents, relative and non-relative caregivers, adoptive parents, and Protective Investigators regarding eligibility programs, benefits, and application processes.
• Responds to inquiries related to Medicaid coverage, billing issues, provider assignments, and primary care physician changes.
• Maintains complete, accurate, and up-to-date client eligibility records and supporting documentation in accordance with agency, DCF, and federal requirements.
• Prepares documentation and case records for audits, reviews, and monitoring activities conducted by DCF Contract Oversight and other regulatory entities.
• Reviews case information to ensure compliance with applicable laws, regulations, policies, and contractual requirements governing Title IV-E, Medicaid, and TANF programs.
• Tracks eligibility deadlines, renewal dates, and required actions to prevent interruptions in benefits and ensure timely completion of re-determinations.
• Maintain regular in-office attendance to perform essential job functions, collaborate effectively with team members, participate in meetings, and provide timely support to agency operations and service delivery.
• Perform other duties as assigned to support departmental and agency goals, as needed and appropriate to the position.

Benefits

• All hours worked will be compensated in accordance with the Fair Labor Standards Act (FLSA) and agency policies, including applicable overtime and other compensation requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level