Billing Supervisor (Administrator V) - Pueblo/Denver

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Billing Supervisor (Administrator V) - Pueblo/Denver

Salary

$86,916.00 - $109,000.00 Annually

Location

Denver, CO

Job Type

Full Time

Job Number

IIB 06009 05/07/2024

Department

Colorado Department of Human Services

Division

OBH - CMHIP

Opening Date

05/08/2024

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.

The Finance and Contracts Services Units, located in the Office of Civil and Forensic Mental Health’s CFO office, exists to provide critical fiscal and contracts support and guidance for the Mental Health Institutes and the Forensic Services Division. The Units provide program guidance with respect to governmental budgeting and analysis, hospital finance, and assistance with governmental medical contracts, solicitations, and procurements within the State of Colorado. The Units provide review and reconciliation of personal services databases, including PAF creation and processing.

Description of Job

The Billing Supervisor in this position will directly supervise the creation and submission of Medicare and DOC claims for timely filing to maximize agency revenue. This position determines and notifies various Institute and Department staff of outside medical liability for patients admitted to outside acute hospitals. The Program Manager reviews, analyzes, and interprets AVATAR – PM reports to ensure the accuracy of revenue and receivables as reported in CORE. In addition, this position reviews Ability to Pay (ATP) calculations to ensure compliance with state statutes, rules, and regulations. The position has signature authority for ATP calculations, administrative adjustments, and other management authorizations as assigned. Position reviews payments from third parties and advises immediate supervisor of any unusual problems. Position is responsible for performance evaluations, work schedules, training, and writing procedures by which section will operate and reviews work for conformance with established rules and regulations. Position serves as backup subject matter expert for patient billing issues.

As a Billing Supervisor, you can expect to:

• Monitor submission of Medicare and DOC medical claims for Colorado Mental Health Institute Pueblo and Ft. Logan for timely filing (which includes interpreting timely filing rules), analyze accuracy of billings, and investigate billings to ensure maximization of agency revenue

• Reconcile, investigate, and rebill for all outstanding Institutes Medicare and DOC billings. Record monthly revenue, and investigate and make appropriate adjustments in CORE (preparation and input of JVs) to adjust revenue in reconciliation/correction process

• Summarize and report statistics utilized in the preparation of the annual Medicare Cost Report. Review Medicare billing logs and verify the logs for accuracy. This includes analysis of appropriate accounts to be claimed as Medicare Bad Debt. Defend calculations and respond to questions from auditors on information provided.

• Directly supervise two (2) technicians and one (1) professional position, which includes scheduling and delegating work; approve time off; handle performance issues; train employees; prepare performance plans and ratings; recommend need for progressive discipline; interview applicants, and recommend choice for hire, promotion, or transfer

• Monitor staff accuracy and proficiency in the processing of Medicare claims, outside medical payments, and general office duties, document problem areas, then provide further training or counseling if performance does not improve.

• Review and approve Ability to Pay (ATP) calculations for CMHIP and CMHIFL, ensuring compliance with state statutes, rules, and regulations. Review ATP appeals. Reconcile and adjust self-pay accounts requiring supervisory review as identified by technicians. Signature authority for ability to pay approvals. Recommend reviews of full-rate ATPs to Director of Patients' Accounts for possible reduced or no ATP payment determinations

• Audit outside medical payments verifying payee, quantities, and dollar amounts on invoices, by applying knowledge of state fiscal rules and DHS policy, and interpretation of fiscal rules; verify invoices and statements, and proper signature authority; review or recommend coding by fund, agency, organization unit, appropriation, object, sub-object, grant budget line, balance sheet account, and reporting category

• Analyze correct object code to be used for consistency and accuracy of payments. Evaluate whether payment, coding, and attached documentation are accurate and complete if payment voucher is requested for a state audit. Analyze, interpret, and resolve best object code to use for atypical purchases. Advise technicians and internal customers as to best object code to use for goods and services. When discrepancies arise, pursue resolution by analyzing, interpreting, evaluating, and investigating. Upon verifying accuracy, indicate approval by signing the voucher as audited, and approve the document in CORE.

• Performs other duties as assigned

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Minimum Qualifications:

Experience Only:

Eight (8) 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 eight (8) years

Preferred Qualifications:

• 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

• Previous Supervisory Experience

• Ability to communicate with patients and/or their families

• Proficient with Microsoft Access

• 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

• Must possess a valid, unrestricted U.S. Driver's License

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

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

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

• 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

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