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Fiscal Intermediary Coordinator for Self-Direction (OPWDD)

1/5/2026

The Fiscal Intermediary Coordinator is responsible for billing and payment of approved goods and services, fiscal accounting, and ensuring compliance with Medicaid and corporate standards. They also provide training and support to participants and families regarding self-direction and staffing.

Working Hours

40 hours/week

Company Size

501-1,000 employees

Language

English

Visa Sponsorship

No

About The Company
Living Resources is dedicated to providing life enhancing services to individuals with intellectual and developmental disabilities, as well as those with a brain injury in a safe and nurturing environment. Our more than 850 staff members assist and support people who are disabled due to birth trauma, accident, or illness. When individuals and families choose Living Resources, we make a promise to provide support for a lifetime.
About the Role

Description

Living Resources is a non-profit human services agency. Our core purpose is to support and empower individuals with disabilities or other life-challenging conditions to live with dignity, independence, and happiness.

Living Resources works with, and for, families by providing peace of mind. All employees are to be respectful and supportive of families. We are working with them as partners, providing care and services.


To work for Living Resources is to make a difference in the lives of others. Living Resources provides individuals with disabilities and special needs the support they need to thrive and lead active, full lives. For many Living Resources employees, their work becomes an experience where they find fulfillment and develop both personally and professionally.


Essential Responsibilities

  • Billing and payment of approved goods and services on behalf of the participant.
  • Fiscal accounting and reporting.
  • Ensure Medicaid and corporate compliance.
  • General administrative supports.
  • Verify staff employment eligibility.
  • Help the participant manage staff.
  • Participate in annual and/or semi-annual Life Plan meetings to discuss issues related to self-directed staffing and/or supports and budget expenditures, as required or as requested.
  • Participate in Circle of Support/Care Planning Team meetings as a budget resource, as needed or as requested.
  • Incident Management - reporting/investigating related to self-hired staff, as required and in coordination with incident management team.
  • Provide training to the participant on his/her employer responsibilities.
  • Work cooperatively with independent and agency brokers.
  • Provide educational and training support to participants, families, brokers, staff, and interested parties.

Requirements

  • At least 1 year of experience working in Self-Direction programs as Fiscal Intermediary or Broker
  • Experience with Self-Direction EHR (electronic health records) preferred
  • Excellent written and interpersonal skills
  • HS Diploma or GED
  • Valid NYS Driver's License

Benefits

We offer great benefits including Paid Training, Health, Dental & Vision Insurance, Payment in Lieu of Health Insurance, Tuition Assistance, and Retirement Programs.

There are also opportunities to advance within our agency!

Key Skills
BillingFiscal AccountingMedicaid ComplianceAdministrative SupportIncident ManagementTrainingInterpersonal SkillsSelf-Direction ProgramsEHRBudget ManagementStaff ManagementLife Plan MeetingsCare PlanningEducational SupportBroker CollaborationEmployment Verification
Categories
Social ServicesHealthcareAdministrative
Benefits
Paid TrainingHealth InsuranceDental InsuranceVision InsurancePayment in Lieu of Health InsuranceTuition AssistanceRetirement Programs
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