Revenue Maximization Specialists

## Description

**Mission Statement**

The Children’s Network of Hillsborough is committed to working with the community to protect children and preserve families.

**General Purpose of Job**

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.

**QUALIFICATIONS**

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

**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.
• 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.

**Working HOurs**

Children’s Network of Hillsborough’s standard business hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. This position is an in-office based position that averages 40 hours per week. Work hours may vary outside of these standard hours, including evenings and weekends, as needed to meet operational demands. 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.

**Travel**

Travel within and outside of Hillsborough County is required.

**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.

## Qualifications

**Supervisory Responsibilities**

This position does not have supervisory responsibilities

**Education and Experience**

• Bachelor’s degree from a four-year accredited college or university required
• Experience in the child welfare field is preferred
• Specialized training and/or experience in federal funding related to child welfare is preferred

**Skills and Abilities**

Knowledge of Title IV-E, Medicaid, TANF, and related eligibility programs, including applicable state and federal regulations is preferred. Ability to interpret policies, determine eligibility, maintain accurate records, and meet established deadlines. Strong organizational, analytical, and problem-solving skills with attention to detail. Proficiency in FSFN, Microsoft Office applications, and other electronic recordkeeping systems. Excellent verbal and written communication skills with the ability to effectively interact with case managers, caregivers, adoptive parents, state agencies, and other stakeholders. Ability to maintain confidentiality, prioritize multiple responsibilities, and work independently while ensuring compliance with agency, state, and federal requirements.

**pre-employment requirements**

**Certificates, License, Registrations, backgrounds, drug screens, Etc.**

• Proof of education is required
• 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
• Children’s Network participates in E-Verify

**Other Requirements**

**LANGUAGE SKILLS**

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.

**MATHEMATICAL SKILLS**

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.

**REASONING ABILITY**

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.

**Physical Demands**

The physical demands of this position are generally moderate. The role may require extended periods of sitting, standing, and using a computer. Occasional lifting of office supplies, files, or materials up to 25 pounds may be required. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential job functions.

**WORK ENVIRONMENT**

This is an in-office-based position focused on administrative work, where the noise level may be moderate. This role may involve occasional travel among agency locations, extended periods of computer work, and frequent interactions across multiple departments. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.

**ADA:** Children’s Network of Hillsborough, LLC will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.

**EEO:** Children’s Network of Hillsborough, LLC does not discriminate based on race, national origin, gender, religion, veteran status, or disability in employment, in provision of services, or in access to programs.