Fiscal Specialist in DHHS

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Salary: $22. 39 - $23. 75 Hourly

Location : Appleton, WI

Job Type: Full-time

Job Number: 2403106

Department: DHHS Fiscal

Opening Date: 12/06/2024

Typical Work Hours/Shift:: The Typical work schedule with possibilities of comp time/overtime 8:00 AM - 4:30 PM

Outagamie County Core Values

Invested in Serving

Better Together

Create Progress

Support Through Compassion

Position Purpose

Reporting to the Finance Supervisor - Health and Human Services, the Fiscal Specialist performs various long term support fiscal functions including Children's Long Term Support (CLTS) billing, claim reconciliation, HSRS reporting, processes re-certification/6 month review documents, prepares program projections, waiting lists, and unit statistics, etc.

Hours: The typical work schedule with possibilities of comp time/overtime 8:00 AM - 4:30 PM

Remote Work: Limited telecommuting or hybrid work options may be available and may be considered only after a satisfactory probationary period.

Benefits: Outagamie County offers Benefit options and paid time off for team members that work 20+ or more hours per week. Learn more today by visiting:
Key Responsibilities

The following duties are most critical for this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.

  • Processes annual client specific CLTS re-certification, and 6-month review documents.
  • Completes client specific CLTS plans. Includes working with service coordinator to identify services, assigning rates, determining SPCs and service codes, assigning funding sources, entering data in database/TCM, and problem solving with State CLTS staff.
  • Provides ongoing support to CLTS Service Coordinators and service providers.
  • Facilitates completion of Medicaid and Disability Determination applications for clients of the MH/AODA division.
  • Attends morning crisis staffing's.
  • Attends weekly MA (Medical Assistance) Third Party Liability Team meetings.
  • Processes invoices for client specific services.
  • Maintains close working relationship with In-Patient Discharge Planners at hospital and IMD facilities.
  • Completes HSRS/HOD State reporting including opening, closing, and updating client specific data both in CORE and in the Waiver module.
  • Monthly non-payment TCM (The Clinical Manager) entries.
  • Completes client specific, monthly CLTS billing including collection of units of service, determination of hourly and daily rates, and coordination with state and county program personnel.
  • Prepares various reports including CLTS projections.
  • Reconciles CLTS P-card statements.
  • Enters authorizations for CLTS funded services as needed.
  • Maintains regular and predictable attendance, works overtime/extra hours as required.
  • Performs other duties as assigned.
Education/Certifications/Experience Requirements
  • High school graduate with one to two years accounting experience.
  • Associate's Degree in Accounting desirable.
Required or Preferred Skills
  • Ability to operate a variety of office equipment including personal computer, computer terminal, typewriter, calculator, photocopier, telephone, etc.
  • Ability to add, subtract, multiply, divide, calculate decimals and percent's.
  • May also require ability to make use of descriptive statistics.
  • Ability to comprehend and interpret a variety of documents including client files, HSRS reports, CLTS billing summaries, insurance PRA's (Provider Remittance Advice), program activity logs, letters and other correspondence, records, various internal and external reports, policy and procedure manuals, evaluations, logs, statements, etc.
  • Ability to prepare a variety of documents including individual service plans, monthly CLTS & BIW claims, journal entries, letters to families, CLTS related forms, unit statistics, cost share worksheets, level of care (LOC), HSRS data entry, etc.
  • Ability to use and interpret department specific terminology such as accounting or medical terminology.
  • Ability to communicate effectively verbally and in writing, with inter- and intra-departmental staff members, clients, outside agency personnel, service providers, and the general public.
  • Ability to lift, carry, push, pull; or otherwise move objects up to 25 pounds, understanding and utilizing proper body mechanics.


OUTAGAMIE COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER. IN COMPLIANCE WITH THE AMERICANS WITH DISABILITIES ACT, THE COUNTY WILL PROVIDE REASONABLE ACCOMMODATIONS TO QUALIFIED INDIVIDUALS WITH DISABILITIES AND ENCOURAGES BOTH PROSPECTIVE EMPLOYEES AND INCUMBENTS TO DISCUSS POTENTIAL ACCOMMODATIONS WITH THE EMPLOYER.

Outagamie County offers Benefit options and paid time off for team members that work 20+ or more hours per week. Learn more today by visiting:

Outagamie County Diversity Statement:

Outagamie County is committed to developing, nurturing, and sustaining an equitable community and workforce where all individuals can thrive. We pledge to amplify the voices of under-represented communities or those who were historically excluded, by removing barriers that result from racial, social injustice and inequities. We strive to ensure that equity, diversity, inclusion are embedded at all levels of Outagamie County programs and departments through acknowledging, analyzing, and addressing the root causes of inequities. We will create and advance equitable polices, practices and procedures, including, but not limited to County services, recruitment and retention, policies and practices, budgeting and procurement. We commit to being transparent and will continually evaluate and update our values when identified goals and objectives are not being achieved or sustained. Outagamie County will strive to create an inclusive environment where every community member feels like he/she/they belong.

OUTAGAMIE COUNTY IS AN EQUAL-OPPORTUNITY EMPLOYER. IN COMPLIANCE WITH THE AMERICANS WITH DISABILITIES ACT, THE COUNTY WILL PROVIDE REASONABLE ACCOMMODATIONS TO QUALIFIED INDIVIDUALS WITH DISABILITIES AND ENCOURAGES BOTH PROSPECTIVE EMPLOYEES AND INCUMBENTS TO DISCUSS POTENTIAL ACCOMMODATIONS WITH THE EMPLOYER.

OUTAGAMIE COUNTY OFFERS A COMPREHENSIVE AND HIGHLY COMPETITIVE BENEFITS PACKAGE TO ITS EMPLOYEES.

LEVELS OF BENEFITS CAN VARY BASED ON EMPLOYMENT STATUS AND EMPLOYEE GROUP.
Medical Coverage
Outagamie County currently offers eligible employees a Low-Deductible Health Plan and a High Deductible Health Plan with a Health Savings Account (HSA). Each of these plans are available for single or family coverage at affordable rates.

Dental Coverage
Eligible employees may choose either single, limited family, or family coverage.

Vision Coverage
Outagamie County offers single, employee plus one, e.

Read the full job description and apply online on the recuiter's web-site

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