Revenue Maximization Specialists

Qualifications

• 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.
• Maintains 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.

Essential Duties And 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.
• Maintains 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.

Working Hours

• Average 40 hours per week, standard business hours are 8:00 a.m. to 5:00 p.m., Monday through Friday.
• Work hours may vary outside of these standard hours, including evenings and weekends, as needed to meet operational demands.

Training

• All employees are required to complete fifteen (15) hours of training annually, which may be completed online or in a classroom setting.
• Employees who hold a credential or license relevant to their position must ensure that all training and continuing education requirements are met to maintain their credential or licensure.