Colorado State Long Term Care Biller- Fitzsimons in Denver, Colorado
Long Term Care Biller- Fitzsimons
Long Term Care Biller- Fitzsimons
$3,708.00 - $4,430.00 Monthly
Colorado Department of Human Services
ILG 01275 03/30/2021
4/22/2021 11:59 PM Mountain
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This position is open only to Colorado state residents.
If your goal is to build a career that makes a difference; consider joining the dedicated people of the Colorado Department of Human Services (http://www.colorado.gov/cdhs) (CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety, independence, and well-being of the people of Colorado. In addition to a great location and rewarding and meaningful work, we offer:
Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan www.copera.org plus 401(k) and 457 plans
Medical and dental health plans
Employer supplemented Health Savings Account
Paid life insurance
Short- and long-term disability coverage
10 paid holidays per year plus vacation and sick leave
BenefitHub state employee discount program
Employee Wellness program MotivateMe
Excellent work-life programs, such as flexible schedules, training and more
*Some positions may qualify for the Public Service Loan Forgiveness Program. For more
information, go to https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/public-service.
Office of Long Term Care
CO State Veterans Community Living Center at Fitzsimons
Visit us online at: www.colorado.gov/cdhs/veteranshomes/fitzsimons
Take a virtual tour of our facility: http://www.fitzveterans.com/
The Colorado State Veterans Nursing Home at Fitzsimons, located on 15 acres of the former Fitzsimons Army Medical Center, is a state-of-the-art nursing home serving veterans and their spouses. We are committed to caring for the whole person by addressing the personal and social needs of each resident, as well as their physical and medical requirements. All staff members of Fitzsimons are committed to providing a life of quality and dignity for every resident. We offer free employee parking and easy access to RTD routes.
We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.
Description of Job
What You'll be Doing
This position is responsible to complete the accounts receivable (AR; i.e., revenue billing and collections) work for this 180-bed nursing home. This includes billing private accounts, Medicaid, Hospice, Medicare parts A and B as well as any other third party insurers and supplemental insurance policies tied to the Medicare billings. In addition, this position also does VA per diem billing. This position will track the Medicaid status of residents, including working with Social Services, Admissions, County technicians, residents, and/or families. Process resident refunds and assist residents and/or families with lump sum distributions from Department of Veteran Affairs.
Primary Job Duties:
Manages communications with external and internal stakeholders through the use of a shared email account.
Bills Medicaid, Medicare, VA, private pay, hospice, and associated supplemental plans
Creates and tracks monthly private billing statements
Creates and tracks monthly insurance billing statements
Coordinates with Medical Records to ensure census reflects correct payer sources
Initiates first level collection efforts for outstanding private accounts
Tracks all receivables in PCC (Healthcare and AR billing system) ensuring timely payment
Maintains the accounts receivable ledger and keeps track of Medicaid eligible residents including Medicaid Pending Residents
Reports income and status changes to County Department of Social Services and ensures all title XIX regulations are followed with regard to billing and eligibility
Tracks Medicare stays/RUG levels and works with interdisciplinary team for Medicare Part A & Part B services
Is responsible for collection of payment upon arrival, ensures correct tracking in PCC (Healthcare & AR billing system) which includes any payer source status changes prior to discharge.
Maintains ledgers to substantiate Medicaid, Medicare, VA, private pay, and Hospice accounts receivable amounts on balance sheet accounts.
Maintains and updates ledgers to accurately reflect receivables.
Initiates the collection process for aging issues pertaining to Medicare, Medicaid, Hospice, and any other payer sources.
Ensures all entries related to cash receipts and accounts receivable are entered and approved before month-end close.
Prepares daily bank deposits
Prepares and informs monthly on aging status
Prepares and informs periodically on collection efforts
Prepares the Bad Debt Allowance report.
Records cash receipts and withdrawals in PCC.
Performs month-end close in PCC
Acts as a liaison between the Business Office, Admissions Office, and resident/family members.
Reviews and confirms financial status prior to resident admissions.
Discusses financial obligations with resident's family members prior to admission, upon admissions, during the resident’s stay at the facility, and prior to discharge.
Maintains the Medicaid PETI process of the facility by coordinating with the facility’s Social Services Office, Colorado Department of Health Care Policy and Financing, and Business Office Manager about allowable charges and obtaining financial approval for the billings and reimbursements
Discusses financial changes and obligations with resident/family members as needed, e.g. annual cost of living adjustments, i.e. 5615 forms.
Assists residents with lump sum distribution payments from the VA so it does not jeopardize their Medicaid status.
Monitors Medicaid eligibility, annual redeterminations, and/or updated ULTC 100.2 assessments.
Performs monthly bank reconciliation of the operation account and the personal needs (Trust) account.
Other Duties as assigned
Back up for resident personal needs accounts cash withdrawals
Back up for handling of any of the three petty cash accounts of the facility
Back up for Accounts Payable functions
Responsible to create and maintain process documents of position duties
Other duties as assigned
Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights
Education:Graduation from an accredited college or university with a Bachelor's degree in Accounting.
Note: A legible copy of a college or university transcript must be submitted in order for applicants to receive credit for the education requirement.
Will substitute Long Term Care Billing experience for the required bachelor's degree in accounting on a year-for-year basis.
A bachelor's degree from an accredited college or university, which included 27 semester hours of accounting or auditing coursework, may substitute for the required education.
A Master's degree or doctorate degree in accounting or MBA with an emphasis in accounting or a doctorate degree in accounting from an accredited college or university may substitute for the bachelor's degree.
Current, valid CPA license may substitute for the bachelor's degree.
Definition of Professional Experience: While not fully encompassing, professional accounting experience is defined by the Colorado Department of Human Services as work that typically involves the following components:
Analysis of financial transactions to determine accuracy, completeness, and conformance to established policies and procedures and generally accepted accounting standards;
Preparing, analyzing, and interpreting financial reports, statements and records, (e.g. balance sheets, profit and loss statements, amortization and depreciation schedules);
Assembling data and creating financial projections;
Developing, implementing, modifying and documenting accounting systems;
Reconciliation of accounts;
Calculating and estimating effects of proposed changes in operating programs or accounting operations;
Revenue recognition & contract completion recognition;
Account troubleshooting and problem solving;
Implementing and/or designing of financial controls;
GL system maintenance; and
Making account recommendations.
Must possess and maintain a valid Colorado Driver License
Must be willing to complete background, including finger printing
Must be willing to complete drug screen
Should your background check reveal any charges or convictions, it is your responsibility to provide CDHS Background Unit with an official disposition of any charges
Strong preference will be given to candidates who possess a bachelor's degree in accounting, or have 27 credit hours of accounting or auditing coursework from an accredited college or university
Demonstrated proficiency with Microsoft Office or Microsoft Office 365, specifically MS Excel
Working Knowledge of Account Reconciliations
Demonstrated experience working with PCC, or with another Healthcare software
Demonstrated knowledge and experience with Medicaid, Medicare, cost accounting, cost allocation and/or human-services related programs.
Preference will be given to candidates with working knowledge of billing and collection activities in a Senior Living, Skilled Nursing Facility, Nursing Home or other Healthcare setting.
Preference will be given to candidates with public-sector and/or government accounting experience
Highly Desirable Knowledge, Skills & Abilities
Ability to be an effective team member within the team and across work units, cross-train and learn from others, and work in an open and transparent manner
Demonstrated working knowledge of Generally Accepted Accounting Principles and Practices;
Demonstrated working knowledge of Microsoft Office suite, specifically Word, and Excel
Demonstrated working knowledge and experience working with complex accounting systems, such as CORE or similar product;
Ability to locate and identify discrepancies utilizing spreadsheets and other written communications;
Ability to work with confidential information, and maintain confidentiality;
Ability to derive facts quickly, methodically, and accurately;
Ability to develop constructive and cooperative working relationships with others, and maintain them over time;
Ability to derive logical conclusions from available information, utilizing a combination of judgment and formal guidance, in order to determine if departmental objectives have been met;
Ability to interact with various stakeholders, both internal and external to the unit, and able to demonstrate a strong customer orientation and dedication; and
Ability to set and prioritize workload, identify short- and long-term goals and develop strategies to achieve them, and coordinate with internal and external business partners.
Conditions of Employment
The successful candidate in this position must be willing and available to submit to the following conditions:
Must have a valid Colorado Driver's License
Must be willing to submit to and able to successfully pass a criminal background check and pre-employment drug screening.
Must be able to work with confidential information.
Must be willing to receive an annual influenza vaccination or provide documentation for a medical or religious exemption at the time of hire.
Former State employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application and provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination will disqualify the applicant from future State employment with CDHS.
If you receive notice that you have been eliminated from consideration for the position, you may protest the action by filing an appeal with the State Personnel Board/State Personnel Director within 10 days from the date you receive notice of the elimination.
Also, if you wish to challenge the selection and comparative analysis process, you may file an appeal with the State Personnel Board/State Personnel Director within 10 days from the receipt of notice or knowledge of the action you are challenging.
Refer to Chapters 4 and 8 of the State Personnel Board Rules and Personnel Director's Administrative Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative Procedures are available at https://spb.colorado.gov/.
A standard appeal form is available at: https://spb.colorado.gov/. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your representative, and received at the following address within 10 days of your receipt of notice or knowledge of the action: Colorado State Personnel Board/State Personnel Director, Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, CO 80203. Fax: 303-866-5038. Phone: 303-866-3300. The ten-day deadline and these appeal procedures also apply to all charges of discrimination.
Please note that ONLY your State of Colorado job application will be reviewed during the initial screening; if you submit a resume and cover letter, they will be reviewed in later stages of the selection process. Therefore, it is paramount that you clearly describe all of your relevant experience on the application itself, this includes completing the job history of the application. Applications left blank, do not include your work history or marked "SEE RESUME" will not be considered in the minimum qualifications review.
Note: Former State employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application and provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination will disqualify the applicant from future State employment with CDHS.
For Recruitment questions for this job announcement, please contact firstname.lastname@example.org
CDHS is committed to the full inclusion of all qualified individuals. As part of this
commitment, our agency will assist individuals who have a disability with any reasonable
accommodation requests related to employment, including completing the application
process, interviewing, completing any pre-employment testing, participating in the
employee selection process, and/or to perform essential job functions where the requested
accommodation does not impose an undue hardship. If you have a disability and require
reasonable accommodation to ensure you have a positive experience applying or interviewing
for this position, please direct your inquiries to our ADAAA Coordinator, Nancy Schmelzer, at email@example.com or call 1-800-929-0791.
Toll Free Applicant Technical Support: If you experience technical difficulty with the NEOGOV system (e.g. uploading or attaching documents to your online application) call NEOGOV technical support at 855-524-5627 Mon-Fri between 6 am and 6 pm (Pacific Time). Helpful hints: if you are having difficulty uploading or attaching documents to your application first, ensure your documents are PDF or Microsoft Word files, and second, close the document before you attempt upload (attach) it.
THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER