Revenue Maximization Specialists

Children's Network of HillsboroughTampa, FL
5d$23Onsite

About The Position

The Children’s Network of Hillsborough is committed to working with the community to protect children and preserve families. 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
  • Valid driver’s license required, with proof of insurance
  • 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.
  • 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.
  • Must have strong reasoning and critical thinking skills to identify problems, evaluate options, and implement effective solutions.

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.
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