Equus

Appeal Specialist - Child Care Services

San Antonio, us Full-time On-site
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Job Description

The Appeal Specialist is responsible for reviewing, investigating, and resolving appeals submitted by parents, guardians, or applicants regarding Child Care Services (CCS) eligibility determinations, benefit reductions, suspensions, terminations, co-payment assessments, and other program-related decisions. This position ensures appeals are processed fairly, consistently, and in compliance with applicable federal, state, and local regulations, contractual requirements, and established program procedures. The Appeal Specialist serves as a neutral and objective reviewer, conducting fact-finding activities, evaluating eligibility documentation, interpreting Child Care Services policies, facilitating appeal hearings when required, and preparing written determinations. The role is critical to ensuring due process and maintaining the integrity of the Child Care Services program. Receive, review, and process Child Care Services appeal requests within established timeframes. Conduct comprehensive reviews of eligibility determinations, supporting documentation, and case records. Investigate disputed decisions involving income eligibility, family composition, employment status, residency requirements, participation requirements, and other program eligibility factors. Analyze applicable Child Care Services policies, Texas Workforce Commission regulations, and local board procedures to ensure accurate appeal decisions. Communicate with applicants, parents, guardians, eligibility specialists, providers, workforce staff, and other stakeholders to obtain information necessary for case resolution. Schedule, coordinate, and facilitate informal reviews, appeal hearings, or administrative review conferences as required. Prepare detailed case summaries, findings of fact, recommendations, and written appeal determinations. Maintain complete and accurate appeal records in case management systems and ensure documentation meets audit standards. Initiate, establish payment plans and document recoupments Monitor appeal deadlines and ensure all required actions are completed within regulatory timeframes. Draft and issue appeal outcome letters and related correspondence. Identify trends related to eligibility determinations and recommend process improvements. Assist with quality assurance reviews, audits, monitoring activities, and corrective action initiatives. Provide technical guidance regarding appeal procedures and Child Care Services eligibility policies. Ensure compliance with all federal, state, local, and contractual requirements governing Child Care Services programs. Maintain confidentiality of participant information and records. Perform other duties as assigned.  

Frequently Asked Questions

What does the Appeal Specialist - Child Care Services role at Equus involve?

The Appeal Specialist - Child Care Services position at Equus in San Antonio, us is a full-time role. The Appeal Specialist is responsible for reviewing, investigating, and resolving appeals submitted by parents, guardians, or applicants regarding Child Care Services (CCS) eligibility determinations, benefit reductions, suspensions, terminations, co-payment assessments, and other program-related decisions. This position ensures appeals are processed fairly, consistently, and in compliance with applicable federal, state, and local regulations, contractual requirements, and established program procedures. The Appeal Specialist serves as a neutral and objective reviewer, conducting fact-finding activities, evaluating eligibility documentation, interpreting Child Care Services policies, facilitating appeal hearings when required, and preparing written determinations.

What skills are required for Appeal Specialist - Child Care Services at Equus?

Key skills for this role include: RDS.

What is the salary for Appeal Specialist - Child Care Services at Equus?

The salary for this position is not publicly listed. You can negotiate during the interview process. Check Glassdoor or Levels.fyi for estimates.

Is the Appeal Specialist - Child Care Services position at Equus remote or on-site?

This position is On-site. The role is based in San Antonio, us.

How do I apply for Appeal Specialist - Child Care Services at Equus?

You can apply for this position directly through the employer's careers page. Click the 'Apply Now' button on this page to be redirected to the original listing. Make sure your resume is ATS-optimized. Use SpotChange's free ATS test to check.

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About This Role

Appeal Specialist - Child Care Services at Equus is a full-time other position in San Antonio, us. Key skills include RDS. Education: Master's Degree preferred. Experience: 3+ years.

This role is classified as on-site and is suitable for mid level-level professionals. Ghost Score 5/100 (Fresh) indicates this listing is very likely active and recently refreshed.

To apply, visit the official application page through the Apply Now button above. SpotChange Jobs provides AI-powered career tools including resume optimization, ATS testing, interview preparation, and salary negotiation assistance.