LTSS Specialist bei None

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Under the supervision of the Compliance Manager, the LTSS Specialist supports the program teams with capturing the documentation required for billing services and support. Tasks include ensuring accurate database records, creating, reviewing, and distributing pre-billing reports, and responding to billing issues and exceptions. In addition, this position is responsible for training employees and contractors on database documentation, service logs, schedules, and billing reports. The LTSS Specialist is expected to demonstrate LTSS and database expertise, in addition to excellent problem-solving skills, and to work independently and collaboratively across teams.

JOB-SPECIFIC DUTIES AND RESPONSIBILITIES 

Inclusion & Engagement for People Supported 
• Facilitate and model inclusive interactions and relationships. 
• Promote increased independence in all aspects of life for people supported, with an emphasis on community engagement.

Database Services, Schedules, & Service Logs 
• Develop and execute a process for ensuring approved service units are correctly entered into the database after PCP approval. 
• Ensure services and staffing patterns align with approved funding. 
• Perform daily audits of service logs to ensure payment criteria are met, reporting deficiencies to appropriate supervisor(s) for corrective action. 
• Ensure missing service logs are documented in the database, reporting deficiencies to appropriate supervisor(s) for corrective action. 
• Create holiday schedules at least 15 days in advance and notify supervisor(s) to assign staff. 
• Identify patterns associated with incorrect/missing service logs and schedules and develop mitigation procedures.

Billing Support & Exception Resolution 
• Serves as a liaison between program teams and Finance regarding LTSS billing. 
• Prepare and distribute pre-billing reports, highlighting areas where scheduled service units do not align with recorded service units. 
• Provide Finance with pre-billing reports and respond to issues raised during billing. 
• Identify patterns associated with billing process delays and develop mitigation procedures.

Collaboration & Training 
• Maintain collaborative relationships with internal teams to ensure an efficient and effective LTSS billing process. 
• Train employees and contractors on database documentation, service logs, schedules, and billing reports. 
• Support supervisors in resolving identified pre-billing documentation issues. 
• Ensure external staffing agencies are alerted to issues with contractors, including requirements for resolving issues with incorrect/missing service logs. 
• Provide additional training to employees and contractors for recurring service log issues which have been previously addressed by supervisors.

Documentation and Recordkeeping 
• Regularly produce reports which compare scheduled and approved units to reduce delivery of unfunded services. 
• Prepare monthly attendance reports and share with designated teams. 
• Prepare employee evaluation reports and provide to supervisors when needed to address documentation issues. 
• Ensure written records which meet identified standards and include accurate data that supports funding requirements are maintained as required. 
• Perform regular reviews to ensure compliance with policies and procedures.

Other incidental and occasional duties which are reasonably within the scope of this position may be assigned or required by the supervisor, particularly during urgent situations.

QUALIFICATIONS 
• Master’s degree plus two years of relevant professional experience, or bachelor’s degree plus four years of relevant professional experience, or high school diploma plus eight years of relevant professional experience. 30 credit hours may be substituted for one year of experience. 
• Experience working with the Maryland Developmental Disabilities Administration’s LTSS billing system or with a DDA provider database system (preferably CIMS). 
• Proficiency across the MS Office product suite. 
• Commitment to a high standard of ethics and protecting confidential information. 
• Effective verbal and written communication skills and computer skills. 
• Ability to read and write fluently in English and have a good understanding of the English language.