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Fiscal Intermediary Jobs (NOW HIRING)

Mercy Medical Center

Medical Review Coordinator

Aurora, IL · On-site

$32 - $46.35/hr

Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned. Qualifications EDUCATION, EXPERIENCE, TRAINING Required ...

Mercy Medical Center

Medical Review Coordinator

Aurora, IL · On-site

$32 - $46.35/hr

Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned. Qualifications EDUCATION, EXPERIENCE, TRAINING Required ...

Elevate Home Health Group

PTA

Carrollton, TX

$25.25 - $33.25/hr

Promotes compliance with all fiscal intermediary and/or other third party payors, through education, coaching and other assistance as necessary * Demonstrates commitment, professional growth and ...

GT Independence

Sr. Director of Operations

This role provides strategic oversight for complex, highly regulated operations within GT Independence's fiscal intermediary and self-direction programs, while leading and developing regional ...

Elevate Home Health Group

COTA

Carrollton, TX

$25.75 - $34.25/hr

Promotes compliance with all fiscal intermediary and/or other third party payors, through education, coaching and other assistance as necessary * Demonstrates commitment, professional growth and ...

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Fiscal Intermediary information

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$26K

$43.6K

$62K

How much do fiscal intermediary jobs pay per year?

As of Aug 20, 2026, the average yearly pay for fiscal intermediary in the United States is $43,639.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,500.00 and $48,500.00 per year, depending on experience, location, and employer.

What is a fiscal intermediary?

A Fiscal Intermediary (FI) is an organization or individual that manages financial transactions on behalf of clients, typically in healthcare or social services. They process payroll, handle reimbursements, and ensure compliance with regulations related to funding sources. FIs commonly support programs like Medicaid or consumer-directed care, helping individuals manage budgets for personal assistance services. Their role is crucial in maintaining accurate financial records and ensuring timely payments.

What are the typical daily responsibilities of a fiscal intermediary?

Fiscal Intermediaries are responsible for processing timesheets, managing payroll for personal assistants or care workers, ensuring accurate record-keeping, and submitting required documentation to funding agencies. They regularly interact with clients, caregivers, and government entities to address questions, verify information, and help ensure proper use of allocated funds. Coordinating payments, staying up-to-date on regulatory changes, and providing training to clients or providers are also part of the role. This position involves a blend of back-office financial management and client-facing support, making strong interpersonal and organizational skills essential.

What are the key skills and qualifications needed to thrive in the fiscal intermediary position, and why are they important?

To excel as a Fiscal Intermediary, you need strong financial management skills, attention to detail, and a relevant background in accounting or finance. Familiarity with financial software such as QuickBooks, Excel, and payroll processing systems, as well as compliance with regulations like Medicaid or other governmental funding requirements, is typically required. Excellent communication, organizational ability, and problem-solving skills help Fiscal Intermediaries effectively liaise with clients, providers, and regulatory agencies. These abilities are vital to ensure accurate financial transactions, regulatory compliance, and smooth program administration.

How to become a fiscal intermediary?

To become a fiscal intermediary, individuals typically need relevant experience in finance, accounting, or program management, along with knowledge of Medicaid or other funding programs. Some roles require certification or training in financial management or compliance. Employers may also prefer candidates with strong organizational skills and familiarity with record-keeping systems.
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Fiscal Intermediary jobs near you
Infographic showing various Fiscal Intermediary job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 18% Part Time, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $43,639 per year, or $21 per hour.

Self Directed Community Support Professional

Racker

Chemung, NY • On-site

$18.45 - $25.41/hr

Full-time

Re-posted 11 days ago

Racker rating

5.7

Company rating: 5.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Overview

Are you looking to make a difference in your career? Want to positively affect individuals in the community you live? Do you picture yourself as a valued member of an industry-leading organization?

Come join Racker as a Self Directed Community Support Professional where you can provide community based services for individuals with developmental disabilities and their families.

The Self Directed Community Support Professional works in accordance with service plans and individual interests of the people they support. The positioned is co-managed by the service recipient and their family along with the employing agency.

Hourly Rate: $18.45 - $25.41*

*Higher rates are possible depending on the candidate and service receipient meeting certain criteria. The team at Racker will review rate expectations prior to offering the position. 

Responsibilities
  • Responsible for the health and safety of the individuals supported 
  • Provide individualized services to people with disabilities and their families which may include: respite for families, teaching, modeling, and supporting skill development in a variety of areas at home and in the community 
  • Participate as an active member of the person's team providing ideas, input, and advocacy for the person related to his or her Staff Action Plan 
  • Follow objectives as described in the person's Staff Action Plan and as discussed with the person receiving services and their Team 
  • Attend training to improve services provided 
  • Complete job requirements (training, PPD, etc) within designated time frames 
  • Report any potential incidents to the supervising/assigned Fiscal Intermediary, or the Self-Direction Coordinator 
  • Accurately enter time and services into Racker's electronic health record, eVero, documenting service times, supports provided, and mileage according to program and regulatory requirements (e.g., contemporaneously documenting service provision) 
  • Provide and use asmartphone for required documentation and other assigned tasks. (Ownership/usage of personal smartphone is strongly preferred) 
  • Provide input concerning goals and service of the individual receiving support 
  • Communicate regularly with the person being supported and their team regarding service provision 
  • Uphold standards of professionalism with regard to behavior and dress 
  • Assume responsibility for related duties as required or assigned 

Working Relationships: 

  • Directly responsible to the person receiving services, their identified designee/family, AND the assigned Fiscal Intermediary  
  • Member of the team which may include: the person and his or her family members, the person's circle of support, the Care Manager, Support Broker, Fiscal Intermediary, teachers, therapists and other providers as selected by the person receiving services 
Qualifications
  • High school diploma or GED
  • Must meet Approved Driver Status
Our approach to Diversity and Inclusion -"A world where all people know they belong."Employment Type: OTHER

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