Reimbursement Specialist
Job Type
Full-time
Description
POSITION SUMMARY
The Reimbursement Specialist assists with processing Voluntary Pre-kindergarten (VPK) and School Readiness (SR) provider payments and reporting requirements for the assigned program, including data entry, processing of monthly attendance rosters, reconciliation of disbursements, and ensuring a timely response to provider payment related requests. This position works closely with all team members and childcare providers.
ESSENTIAL DUTIES AND RESPONSIBILITIES
SUPERVISORY RESPONSIBILITIES:
None
QUALIFICATIONS
Physical Demands / Work Environment
Salary Description
$39,228 to $53,081 per year
Full-time
Description
POSITION SUMMARY
The Reimbursement Specialist assists with processing Voluntary Pre-kindergarten (VPK) and School Readiness (SR) provider payments and reporting requirements for the assigned program, including data entry, processing of monthly attendance rosters, reconciliation of disbursements, and ensuring a timely response to provider payment related requests. This position works closely with all team members and childcare providers.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Review provider attendance rosters for VPK and School Readiness to ensure accuracy, completeness, and compliance with coalition, federal, state, and local policies and procedures.
- Verify attendance records, including sign-in/sign-out sheets and absence documentation, in accordance with the coalition, federal, state, and local policies and procedures.
- Prepare and upload all required documentation into appropriate data systems to maintain compliance and audit readiness.
- Process provider reimbursements in the statewide information system to ensure accurate and timely payments.
- Research, document, and process prior period adjustments and payment corrections.
- Prepare, generate, and distribute reimbursement reports and related correspondence to providers and internal stakeholders.
- Support internal and external audit and compliance processes, including payment validation and post-audit follow-up activities.
- Maintain accurate records and documentation to ensure readiness for audits and quality checks.
- Communicate professionally with providers, families, and internal team members to deliver high-quality customer service and resolve issues effectively.
- Respond to provider inquiries with empathy and professionalism; research issues, de-escalate conflicts, and ensure timely resolution.
- Provide technical assistance and training to providers through various channels, including phone, email, in-person meetings, and virtual platforms.
- Attend and participate in scheduled conference calls, webinars, trainings, and internal meetings.
- Perform other duties as assigned.
SUPERVISORY RESPONSIBILITIES:
None
QUALIFICATIONS
- High school diploma or equivalent with a minimum of one year data entry experience.
- Ability to exemplify our Core Values of Integrity, Equity, Accountability, Collaboration, Innovation, Transparency, Consistency and Benevolence
- Knowledge of Best-in-Class Customer Service Skills
- Proven ability to connect with a diverse population
- Ability to navigate challenging situations and provide solutions
- Bilingual in Spanish preferred
- Proven, high quality customer relationship skills
- Ability to work collaboratively in a fast-paced, deadline driven environment
- Knowledge of general office procedures of basic operational tasks, including answering phones, using email, using computerized and online systems to perform daily work.
- Knowledge of Microsoft Office Products (Excel, PowerPoint, Word, Outlook, Teams).
- Solid ability to analyze situations carefully and adopt appropriate courses of action
- Strong attention to detail, organizational and time management skills
- Skilled in maintaining confidentiality and discretion regarding client information
- This position requires successful completion of the level 2 background screening standards as set forth in s. 435.04, F.S.
Physical Demands / Work Environment
- Work Environment: This job operates in a general office setting. This role routinely uses standard office equipment such as computers, phones, copiers/fax machines. While performing the duties of this job, the employee frequently interacts with staff, vendors, and the public in person and via telephone and email.
- Physical Demands: While performing the duties of this job, the employee will be required to sit for prolonged periods, at a desk, utilizing a computer and reviewing online and paper documents. The employee will also be required to lift and move up to 25 pounds and occasionally lift and move up to 50 pounds.
Salary Description
$39,228 to $53,081 per year