Provider Network & Wraparound Funding Specialist

Duties and Responsibilities

• application processing ensuring that the paperwork is complete, accurate and in compliance with standards
• maintain files, provide technical assistance to providers; orientation and education of providers to credentialing policies and procedures
• collection of quality of service information, and provider relations
• performs other related projects and duties as assigned in support of department goals and objectives including, but not limited to site visits
• Process and monitor fund requests, ensuring that the Request for Funds documentation is complete, accurate and in compliance with DCF and CSSD standards and ABH process guidelines
• Maintain an updated list of authorized signatories by fund including all relevant contact information
• Provide technical assistance to requestors and service vendors incorporating relevant policies and procedures
• Act as liaison between DCF and service vendors for issues related to fiduciary services requests
• Identify necessary changes and initiates/assists in the development/revision to functioning systems within the appropriate internal and external departments
• Maintains confidentiality of all client protected health information and adheres to all HIPAA related policies and procedures
• Performs other tasks/responsibilities as required to support the business operations
• Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse backgrounds

  Requirements

  • Education and Experience Requirements: Associate's degree in business administration, human services or related field or a combination of related education and work experience; Experience in provider relations and accounts payable function is preferred; Experience with public sector work and/or State agencies
  • Knowledge/Skills/Abilities: Demonstrated ability to articulate goals, identify problems, assess implications, provide resolution, meet deadlines and manage shifting demands in a professional manner; Ability to work independently as well as in a team environment, have superior organizational skills and demonstrated experience in communicating at all levels; Strong attention to detail; ability to work on multiple tasks; Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook); internet