Patient Financial Services Manager - Pueblo/Denver

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Patient Financial Services Manager - Pueblo/Denver

Salary

$91,272.00 - $146,040.00 Annually

Location

Denver, CO

Job Type

Full Time

Job Number

IIB 06008 05/02/2024

Department

Colorado Department of Human Services

Division

OBH - CMHIP

Opening Date

05/02/2024

Closing Date

5/19/2024 11:59 PM Mountain

FLSA

Determined by Position

Type of Announcement

This position is open only to Colorado state residents.

FLSA Status

Exempt; position is not eligible for overtime compensation.

Department Contact Information

Joel Drahos -- joel.drahos@state.co.us

Primary Physical Work Address

Colorado Mental Health Institute at Pueblo, 1600 W 24th St, Pueblo, CO with occasional work days at the Mental Health Institute at Fort Logan, 3520 W. Oxford, Denver, CO

How To Apply

Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.

• Description

• Benefits

• Questions

Department Information

THIS ANNOUNCEMENT IS OPEN TO CURRENT RESIDENTS OF COLORADO ONLY

This position will be paid bi-weekly.

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CDHSCareers

Office of Behavioral Health

The Mental Health Hospitals at Fort Logan and Pueblo and Forensic Services, under the auspices of the Office of Civil & Forensics Mental Health (OCFMH), partners with patients, families and their communities to provide quality services that assist patients in achieving their mental health and health care goals. In addition, Mental Health Institute at Pueblo is the only Colorado facility with a forensic division that serves adults who are found Not Guilty by Reason of Insanity or found Incompetent to proceed.

Description of Job

The Manager of Patient Financial Services will serve Colorado’s two Mental Health Hospitals in Pueblo and Fort Logan and will be responsible for oversight and management of all revenue and billing activities assigned to the Department of Human Services Mental Health Hospitals, including recording and collecting of revenue in CORE, Colorado’s financial system, pursuant to Colorado State Statutes for patients admitted to the hospitals. Responsible for determination of payment liability for patients sent to outside acute hospitals.

As an Patient Financial Services Manager, you can expect to:

• Unit supervisor for 10 staff members, including direct supervision of 3 individual units; Medicare/Other Insurance, Medicaid/Self-pay, and Audit, including 4 professional staff, 6 technicians

• Develop performance plans and evaluations; approving performance plans and evaluations

• Oversee, direct, and serve as the subject matter expert for all operational activities within Patient Financial Services for both State Mental Health Hospitals, including: interpreting rules and regulations as they pertain to patient benefits and revenue for the Hospitals, Medicare, Medicaid, Fiduciary Duties

• Report financial status of the Mental Health Hospitals at Pueblo and Fort Logan to Department of Human Services management by monitoring, analyzing, and projecting patient revenue and by collecting financial and clinical information to track current trends that could impact revenue and assure compliance with legislative appropriations

• Ensure all patient financial services operations comply with Generally Accepted Accounting Principles (GAAP), accounting and financial reporting standards established by the Governmental Accounting Standards Board (GASB), Financial Accounting Standards Board (FASB), Colorado Fiscal Rules and Fiscal Procedures Manual, Code of Colorado Regulations, policies and procedures of agencies and external organizations, including the IRS, Office of the State Auditor, Office of the Attorney General, Centers for Medicare and Medicaid Services policies and procedures (CMS), and Office of the State Controller.

• Identify risk areas through day-to-day observation and review of Patient Financial Services operations. Determine the need to advise, guide and train staff, and implement procedures and internal controls to maintain an environment of best accounting audit practices to minimize audit issues.

• This position makes recommendations for process changes, recommends improvements and identifies vulnerabilities

• Communicate problems, findings, and audit status to program management, CFO, and CDHS Controller. Negotiate or defend position for factual changes, reduction, or elimination of audit findings, post-audit corrections and follow-up with audit by clarifying results, answering questions, and providing additional information or documentation. Provide status updates on prior year audit findings and recommendations

• Performs other duties as assigned

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Minimum Qualifications:

Experience Only:

Nine (9) years of relevant experience in an occupation related to the work assigned to this position

OR

Education and Experience:

A combination of related education and/or relevant experience in an occupation related to the work assigned equal to nine (9) years

Preferred Qualifications:

• Experience in extracting and analyzing financial data; proficiency in using

Microsoft Office (Access, Excel, Word, and PowerPoint)

• Experience in financial and accounting information systems.

• Preference will be given to candidates with experience in: Electronic Health Record, CORE, and any previously used state financial systems

  Desired Skills and Competencies:

• Experience with Avatar and CORE

• Familiar with patient billing

• Familiar with Medicare/Medicaid rules and regulations

• Familiar with Colorado Revised Statutes related to billing and the Institutes

• Familiar with Social Security Administration rules and regulations

• Experience with supervision

• Ability to communicate with patients, their families, etc.

• Proficient with Microsoft Acces

• Proficient with Microsoft Word

Conditions of Employment:

• A pre-employment criminal background check will be conducted as part of the selection process as this position is deemed to have direct contact with vulnerable persons. Felony convictions, conviction of crimes of moral turpitude, or convictions of misdemeanors related to job duties may disqualify you from being considered for this position. Should your background check reveal any charges or convictions, it is your responsibility to provide the CDHS Background Unit with an official disposition of any charges

• Occasional travel necessary to attend training, using state fleet vehicle

• Required to take TB (Tuberculosis)Test

• May be required to work in excess of 40 hours per week to complete assigned duties, meet deadlines or as requested by the supervisor

• This position works with confidential information and is expected to maintain confidentiality at all times

• Former employees of the Colorado Department of Human Services (CDHS) who were disciplinary terminated or resigned in lieu of termination must disclose the information on your application and may not be eligible for employment at CDHS

APPEAL RIGHTS:

If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.

An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form must be delivered to the State Personnel Board by email, US Mail, faxed or hand delivered within ten (10) calendar days from your receipt of notice or acknowledgement of the department’s action.

For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board go to spb.colorado.gov or refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures , Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules.

Supplemental Information

How to Apply (https://cdhs.colorado.gov/information-for-job-applicants#how-to-apply)

The Assessment Process

For additional recruiting questions, please contact joel.drahos @state.co.us

About Us:

If your goal is to build a career that makes a difference, consider joining the dedicated people of the Colorado Department of Human Services (https://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

• 11 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

• Remote work arrangements for eligible positions

  *Some positions may qualify for the Public Service Loan Forgiveness Program. For more

  information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs .

  Our Values:

  We believe in a people-first approach: To serve the people of Colorado, we develop a culture and work environment that creates an energized, inspired, and healthy team capable of giving their best to Coloradans .

  Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.

  We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.

  Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.

  We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.

  Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.

  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.

  ADAA Accommodations: 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 ADAA Coordinator, Nancy Schmelzer, at cdhs_ada@state.co.us or call 1-800-929-0791.

THE CAMPUS OF THE COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO IS TOBACCO FREE

THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER (https://cdhs.colorado.gov/information-for-job-applicants#eoe)

The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits

Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.

01

The bottom of this job announcement provides links to additional information on how to apply, the assessment process, toll free applicant technical support, and about how the State of Colorado is an equal opportunity employer. Please acknowledge below that you have read the information provided in these links.

• This information is available to me and I have read this information.

• I am unable to access the links with this information on the job posting. (If you select this option, please contact the recruiter, whose information is listed on this announcement, so that they can send this information directly to you.)

  02

  Your legal name is used in the hiring process for background checks. Did you use your full legal name in your application? If not, please update your information before submitting your application.

• Yes

• No

  03

  If you are a current or former State of Colorado employee, please list your employee number (starts with 997...). Failure to provide this requested information may render your application incomplete, and you may no longer be considered for the position.

  04

  Former State employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application. In the space below, please provide an explanation as to why the prior termination or resignation should NOT disqualify your application from the current position.

  05

  How would you develop an audit plan. What is important to consider.

  06

  Please describe your professional auditing experience. Your response should include a description of where you were working; the role that you assumed in the work experience; the dates (including mm/yy to mm/yy); and the name and telephone number of someone who can verify the information.

  07

  Describe your experience with Electronic Health Records and any expereince in medical billing including Medicare and Medicaid.

  08

  Please describe the skills you view as the most important of an auditor and why is the role of an auditor critical to an organization.

  09

  Please describe a situation in which you took the initiative to improve a process or procedure.

  Required Question

Agency

State of Colorado

Address

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Website

https://careers.colorado.gov/

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