Revenue Maximization Specialists

Children's Network of Hillsborough•Tampa, FL

4d•$23•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
Must have strong attention to detail, excellent organizational skills, and the ability to manage multiple tasks and deadlines effectively.
They should possess solid analytical and problem-solving skills to determine eligibility and resolve issues related to benefits and funding.
Effective written and verbal communication skills are essential for collaborating with internal teams, external partners, and clients.
Proficiency in data entry and ability to learn and master case management systems, particularly FSFN (Florida Safe Families Network), is required.
The specialist must demonstrate professionalism, discretion, and the ability to maintain confidentiality in all interactions.
Valid driver’s license required, with proof of insurance
Driver’s license check is a requirement
Criminal background screening (fingerprinting) (Local Law Enforcement and FBI/FDLE)
Drug Screening is a requirement
Must be able to read, analyze, and interpret documents such as policies, procedures, regulations, and eligibility guidelines.
They must demonstrate the ability to write clear, concise reports and correspondence and effectively communicate information to clients, coworkers, and external agencies.
Strong verbal communication skills are essential for explaining complex information in an understandable manner.
Must possess basic mathematical skills, including the ability to add, subtract, multiply, and divide in all units of measure using whole numbers, fractions, and decimals.
They should be able to calculate figures such as percentages and prorated amounts to determine financial eligibility and funding allocations.
Accuracy and attention to detail are essential when reviewing financial data and processing benefits.
Must have strong reasoning and critical thinking skills to identify problems, evaluate options, and implement effective solutions.
They should be able to interpret and apply complex policies, procedures, and regulations to varied situations.
The ability to exercise sound judgment, make informed decisions under pressure, and adapt to changing priorities is essential.
They must also be able to work independently as well as collaboratively in a team environment.

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

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 child’s out-of-home placement
Determine child’s 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 child’s out-of-home placement
Accurate and timely processing of new Adoption Title IV-E applications for children in Adoption placement, which includes:
Determine child’s 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 eligibility
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 child’s 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.