Reimbursement Specialist

SUMMARY: The Reimbursement Specialist is responsible for processing provider payments, including any reporting requirements for the assigned program. This process includes the processing of monthly attendance for payment, timely response to related requests and to provide technical support for childcare providers. As well as conduct post attendance monitoring. ESSENTIAL DUTIES AND RESPONSIBILITIES: Enters and updates provider information into the ELCBC's payment system according to funding and state guidelines. Responsible for the timely processing of provider attendance in the Single Statewide Information System (SSIS) to facilitate provider payment. Review provider attendance rosters for completeness and anomalies, in accordance with agency policy, and federal, state, and local business rules. Verifies documentation as per Coalition attendance policies, such as absences. Prepare and distribute provider reports and correspondence regarding reimbursement activities. Research, review, document, prepare, and process prior period adjustments to provider issued payments. Conducts post audit attendance monitoring in accordance with established policies and procedures and prepares reports of monitoring results. Maintains accurate customer information when applicable. Maintains quality and integrity of data in the SSIS or other Coalition data system as applicable. Conducts monthly Post Attendance Monitoring (PAM) for all providers to ensure accurate payment of submitted attendance to the Coalition. Facilitates positive relationships with both external clients (providers/families) and internal clients (ELC staff) with respectful customer service. Supports childcare providers by answering phone calls or email inquiries with appropriate responses or follow-up and provides optimum customer service. Identify and determine the provider's reason for the inquiry, research questions and/or complaints, de-escalate situations and/or escalate issues of priority. Assist with payment validation during monitoring from external or internal monitoring/audit requests. Participates in the provider services phone queue as assigned. May serve as presenter on ELCPBC internal and social media platforms, such as Facebook, YouTube, Instagram, and other platforms. Performs other duties that may be necessary to maintain the success of the organization, as determined by management. EDUCATION AND/OR EXPERIENCE: Bachelor's degree (B.A.) from an accredited four-year College or university in a related degree or experience where 2 years of relevant work experience is equivalent to one year of college. Two to five years related experience and/or training. Experience with high volume accurate data entry. Experience using and explaining of online systems and compliance/file audit/review is a plus. Bilingual and able to read, write and speak in English and Spanish or Creole proficiently, is preferred. 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. This position requires successful completion of the level 2 background screening standards as set forth in 435.04, F.S. and drug screening as the Coalition is a drug-free workplace. Daily attendance on time and as scheduled is required with the ability to work flexible hours and/or overtime when required. For this position, there are days where leave cannot be scheduled due to monthly reimbursement processing. Occasional evening and weekend work may be required as job duties demand. This position is designated as Telecommute. No Recruiters Please