Local Funding Specialist

Position:Local Funding Specialist (4938-61)

Location: Cincinnati, OH

Job :4938-61

# of Openings:1

At Hamilton County Developmental Disabilities Services, we believe everyone deserves the opportunity to live a full and meaningful life. Our team makes that possible every day - and we're looking for people who want their work to matter.

We are committed to building a team as diverse as the people we serve, where every member feels valued, supported, and set up to succeed.

You'll thrive here if you:

• Are driven by purpose and find fulfillment in improving the lives of others
• Communicate clearly and compassionately - in writing and in person
• Want to grow within an organization that invests in its people and its community

Competitive Pay

• Starting salary is based on experience: $23.00/hr. ($43,300/yr) with no comparable experience, up to $28.75/hr. ($54,100/yr) with 10+ years in the same role
• Hourly role paid bi-weekly

• 36.25-hour full-time work week (7 hours and 15 minutes per day)
• Flexible scheduling and hybrid work-from-home options
• 3 weeks' vacation accrual per year with 1 week allocated immediately upon hire
• 3 personal days per year
• 15 sick days allocated upon hire; accrues at 15 days per year after year one with unlimited accrual
• Medical, Dental, and Vision coverage; HRA available for those who opt out of medical coverage
• FREE medical care and prescriptions through Marathon Health
• Employer-paid life insurance
• Tuition reimbursement and Public Service Loan Forgiveness (PSLF) eligibility
• Wellness incentives and a robust Employee Assistance Program
• Ohio Public Employees' Retirement System (OPERS): 10% employee / 14% employer contribution

In a typical day as a Local Funding Specialist, you might begin the day reviewing provider invoices and supporting documentation, comparing services to approved authorizations, and following up on discrepancies or missing information. Throughout the day, you’ll update funding records, monitor documentation and billing readiness for Medicaid Targeted Case Management (TCM) services, respond to questions from providers and internal staff, and collaborate with Business Services or Accounts Payable to resolve payment issues.

You’ll also have opportunities to improve processes, update procedures or training materials, and support team members with backup coverage, helping ensure accurate records, timely provider reimbursement, and consistent, compliant financial operations.

• Reviews and processes provider invoices for locally funded services, verifying documentation, authorizations, and compliance with agency and funding requirements; researches discrepancies and coordinates timely resolution and payment.
• Maintains accurate, complete, and audit-ready financial and funding records in agency systems, including data entry, reconciliation, documentation, and tracking of locally funded services.
• Supports Medicaid Targeted Case Management (TCM) billing by reviewing documentation for billing readiness, identifying and following up on issues, and providing backup support to maintain timely and compliant claim submission.
• Serves as a resource to providers and internal staff regarding invoicing, billing requirements, documentation standards, payment status, and local funding procedures; collaborates with Business Services, Accounts Payable, and other departments to resolve issues.
• Supports continuous improvement of local funding and billing operations by helping develop standardized procedures, testing system and process enhancements, creating training and procedural materials, and providing cross-trained backup to promote operational continuity.
• Performs additional duties as assigned.