Fiscal Specialist CLTS

Application Deadline: 2026-04-10
Job Type: County
Job Description:

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: Monday-Friday 8:00 am to 4:30 pm with possibilities of overtime
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: https://www.outagamie.gov/Our-County/Human-Resources/Employee-Benefits-Information

What will help you succeed in this role during your first year?

We’re looking for someone who is detail-oriented, organized, and ready to make a meaningful impact. The right candidate will take the time to fully understand the CLTS program, communicate clearly with others, and work collaboratively as part of a supportive team.

Success in this role also means being able to prioritize tasks, stay on top of deadlines, and consistently follow through on assignments. If you are someone who takes pride in accuracy, works well with others, and enjoys a fast-paced environment where your work truly matters, this could be a great fit for you.

Strong attention to detail

Clear verbal and written communication skills

Team-focused mindset

Ability to prioritize and stay organized

Commitment to learning and understanding the CLTS program

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.
Must possess and maintain a valid driver’s license.

Required or Preferred Skills:
*Knowledge of personal computer applications involving, word processing, spreadsheet software, and use of internet.
*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.

https://www.outagamie.gov/Our-County/Human-Resources

Deadline Note: Deadline is subject to change