STATE OF NEW HAMPSHIRE
HUMAN RESOURCES


 

CLASSIFICATION:  REIMBURSEMENT SPECIALIST

 

Class Code:  7619-18                                              Date Established:  04-18-08

 

Occupational Code:  3-1-9                                     Date of Last Revision: 

 

BASIC PURPOSE:  To perform specialized duties in the establishment and collection of reimbursement for children’s cases who have or are receiving community based services or placement services through the Division for Children, Youth and Families (DCYF) or the Division for Juvenile Justice Services (DJJS) and who have incurred liability for such expenses.

 

CHARACTERISTIC DUTIES AND RESPONSIBILITIES:

 

·           Contacts responsible parent(s) whenever DCYF has a petition of abuse or neglect or DJJS has adjudication of a child in need of services (CHINS) to implement a variety of techniques used to establish a reimbursement agreement.

·           Interviews parent(s), reviews financial statement, arrives at a recommended amount of reimbursement to be paid, enters into a written agreement or motions for a court order between the Department of Health and Human Services (DHHS) and the responsible parent(s) regarding the amount, duration, and frequency of payments to be made.

·           Negotiates with parents and Financial Agents to establish and obtain payment of reimbursement and negotiates settlement and payment of arrearages.

·           Monitors accounts for timely payments and establishes new payment obligation, duration and frequency if necessary.

·           Conducts activities to locate responsible parents including using state and federal sources. 

·           Ensures collection of private medical information for all children and families receiving services from DCYF or DJJS, and shares private insurance information with Fiscal Specialists, Foster Care Health Nurses and other entities as need to ensure private funds are utilized prior to state or federal funds.

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DISTINGUISHING FACTORS:

 

Skill:  Requires skill in applying instructions to accomplish different job functions OR in operating machines for a variety of different purposes.

 

Knowledge:  Requires logical or scientific understanding to analyze problems of a specialized or professional nature in a particular field.

 

Impact:  Requires responsibility for achieving direct service objectives by assessing agency service needs and making preliminary recommendations for the development of alternative short-term program policies or procedures.  Errors at this level result in incomplete assessments or misleading recommendations causing a disruption of agency programs or policies.

 

Supervision:  Requires partial supervision of other employees doing work which is related or similar to the supervisor, including assigning job duties, providing training, giving instructions and checking work.

 

Working Conditions:  Requires performing regular job functions in an adverse working environment containing a combination of disagreeable elements which impact significantly upon the employee's capacity for completing work assignments.  This level includes work-related accidents or assault.

 

Physical Demands:  Requires light work, including continuous walking or operating simple equipment for extended periods of time as well as occasional strenuous activities such as reaching or bending.

 

Communication:  Requires explaining facts, interpreting situations, or advising individuals of alternative or appropriate courses of action.  This level also requires interviewing or eliciting information from state employees or members of the general public.

 

Complexity:  Requires a combination of job functions to establish facts, to draw daily operational conclusions, or to solve practical problems.  This level also requires providing a variety of alternative solutions where only limited standardization exists.

 

Independent Action:  Requires objective assessment in analyzing and developing new work methods and procedures subject to periodic review and in making decisions according to established technical, professional or administrative standards.

MINIMUM QUALIFICATIONS:

 

Education:  Bachelor’s degree from a recognized college or university with a major study in business administration, accounting, banking, finance or social/human services.  Each additional year of approved formal education may be substituted for one year of required work experience.

 

Experience:  Two years’ experience in support enforcement, collections, financial assessment, investigations, law enforcement, direct service delivery, paralegal work, social work, or fiscal specialist work.  Each additional year of approved work experience may be substituted for one year of required formal education.

 

License/Certification:  Possession of a valid driver’s license and/or have access to transportation for statewide travel on a daily basis.

 

RECOMMENDED WORK TRAITS:  Knowledge of laws, rules and regulations pertaining to child support imbursement or reimbursement.  Knowledge of the methods of investigating.  Knowledge of report writing.  Knowledge of family budget preparation.  Ability to testify in court.  Ability to prepare reports from a variety of agencies.  Ability to communicate effectively.  Ability to establish and maintain effective working relationships with financial agents, attorneys and a variety of other professional, financial and law enforcement personnel, departmental employees and the general public.  Must be willing to maintain appearance appropriate to assigned duties and responsibilities as determined by the agency appointing authority.

 

DISCLAIMER STATEMENT:  This class specification is descriptive of general duties and is not intended to list every specific function of this class title.

 

 


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