Administrative Assistant V - Accounts Receivable Specialist
Administrative Assistant V - Accounts Receivable Specialist
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$ 53265 - 88775
1 Vacancy
Job Description
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This position works as a part of the Revenue Management Team which manages billing collections tracking and reporting for approximately $30 million in client and thirdparty fee revenues and supports the Fiscal Team of the FairfaxFalls Church Community Services Board (CSB). Is also responsible for third party reimbursement functions. Monitors revenue cycle activities to analyze denial data and to resolve any issues. Works directly with insurance payers to find denials reasons identifies trends and works collaboratively with all stakeholders to resolve denial matters. Performs research for rejected claims to assess the root cause proposes solutions and implements corrective actions. Leads communication with all parties to confirm the details of denials and files appeals by gathering and providing supporting documentation extracted from electronic health records (EHR) system. Superior knowledge of claims filing limitations for each payer and ability to be able to tackle the issue as well as prioritization skills are essential.
Coordinates no authorization denials in collaboration with the Utilization Management Team (UMT) to obtain necessary updates. Independently and proactively runs accounts receivable status reports on claims requiring authorization and works with UMT staff for resolution. Conducts research for denials related to noncredentialed providers and collaborates with Contracts and Credentialing staff for resolution. Periodically plans actions to adjust unrecoverable claims and makes recommendations to reduce the denials to enhance fee revenue reimbursement. Directs the process of generating automated payment reports audits and reconciles payments to both manual and system generated documents to ensure accuracy in payment posting. Responsible for followups on daily post processing activity including but not limited to reissuance of denied claims statements. Collaborates with insurance companies to resolve pending issues and shares findings with their supervisor. Leads communication with department contacts regarding accounting errors billing issues as well as modifications. Responsible for keeping timely overpayment correspondence to ensure compliance with the policies. Demonstrates appropriate levels of knowledge with regards to ICD10 CPT and/or HCPCS coding systems as well as claims forms CMS1500 and UB04. Receives and evaluates billing requirements from clearinghouse vendor implements changes and disseminates relevant information. Demonstrates initiative and knowledge to research understand and resolve complex financial issues. Ability to handle confidential and sensitive information.
As a senior account representative candidate will work directly with clinical staff and thirdparty payers to maximize revenue for CSB services. Develops procedures and implements processes to adapt to changing requirements of thirdparty payers. Maintains knowledge of payer specific regulations and guidelines. Attend statewide conferences and local training courses to include webinars and other meetings to stay abreast of industry standards. Works with DAHSPR Business Analyst and CSB Informatics staff to maintain settings in the EHR system to support efficient and effective billing. Helps create and monitor productivity reports for use by RMT staff senior managers and clinical staff.
In collaboration with the FS II manages and directs administrative staff responsible for third party reimbursement functions. Manages and directs Administrative Assistant IVs in collaboration with the thirdparty team supervisor. Leads the effort to develop performance standards and goals. Assesses performance on an ongoing basis to include yearly pay for performance evaluations. Periodically reviews position descriptions updating as needed. Participates in the hiring process by being on interview panels and making recommendations for new hires to the thirdparty team supervisor. Monitors workflow and assign priorities to ensure timely completion of reimbursement tasks as well as uniformity in documentation. Coordinates staff absences and ensures adequate team coverage. Provides direction and leadership in difficult situations. Coach employees and work to maintain a congenial working atmosphere.
This position works under the general supervision of Financial Specialist II (FSII).
Functional areas: Finance
Note: To learn more about careers that make a difference watch our video CSB Celebrates 50th Anniversary of Providing Care.Illustrative Duties
(The illustrative duties listed in this specification are representative of the class but are not an allinclusive list. A complete list of position duties and unique physical requirements can be found in the position job description.
General Financial Duties- Supervises a group of clerical/accounting personnel performing duties at the Asst. III level;
- Determines modifies and implements administrative policies procedures and methods to improve office practices;
- Designs and uses spreadsheets and databases to interpret and organize resource information;
- Provides customized reports to analysts or others in the unit.
Fiscal Administration- Analyzes data and develops budget recommendations and projections for unit;
- Administers several complex funds projects contracts and/or grants;
- Processes journal and/or budget entries (e.g. change orders accruals).
Accounting- Performs duties requiring entry level professional knowledge of basic accounting principles;
- Reconciles and monitors units accounting processes;
- Resolves nonroutine and complex problems.
- Prepares wire transfers;
- Performs unique accounting functions that have departmentwide impact.
Purchasing- Researches and recommends equipment/vendors and prices;
- Determines substitutes for supplies and high value equipment;
- Coordinates the purchase of nonstandard items (e.g. purchases requiring coordination with other departments multifund purchases and/or biohazardous material acquisition);
- Resolves issues and disputes with vendors and/or identifies need for increased levels of contract monitoring;
- Acquires insurance via county Risk Management.
General Executive Assistance- Provides advice and counsel to members of the executive/work unit heads functional area;
- Exercises discretion in administrative policy interpretation;
- Resolves a wide variety of operational problems requiring sound judgment.
- Acts as the liaison between the executive/work unit heads functional area other county offices and external agencies;
- Recommends exceptions to administrative policies that are subject to review.
Scheduling & Coordinating for Others- Supervises or handles the most complex nonroutine activities where consequence of error is high;
- Coordinates all logistic activities for visits by external groups;
- Schedules/sets up presentation rooms obtains required audiovisual equipment schedules order of presentations length etc.;
- Verifies travel arrangements made by visitors (e.g. travel to/from hotel);
- Makes all arrangements required by visitors regarding catering or supplies;
- Directs or performs the scheduling organizing coordinating and making of arrangements for national and international meetings;
- Negotiates prices for goods and services required at meetings;
- Manages the calendar of the executive/work unit head with authority to make commitments of the executive/work unit heads time and to distinguish higher from lower priorities in the executive/work unit heads schedule.
Communication- Independently composes original correspondence (e.g. preparation of replies to nontechnical requests) for the functional area under their own signature;
- Explains and interprets policies as they apply to unique situations with potential legal and safety implications;
- Researches coordinates and provides information to others including citizens executive/work unit head and/or BOS members/staff;
- Informs internal staff regarding executive/work unit heads decisions regarding procedural issues and provides the reasons for those decisions.
Office Management- Supervises several dissimilar or specialized functions each with unique training requirements;
- Devises procedures for complex or specialized functions;
- Anticipates and develops procedures/tools to prevent problems; solves unusual problems;
- Provides administrative support to the functional area (e.g. reviews evaluates and prioritizes all requests and communications;
- Analyzes short and longrange administrative needs such as space staffing of functional area).
General Administrative- Responsible for and determines administrative procedures.
Receptionist/Public Contact- Answers questions requiring decisions that tend to establish a precedent and/or commit a unit or supervisor to a course of action;
- Recommends procedural changes;
- Interprets policies and provides oral and/or written interpretations/procedures for nonroutine/complex problems referred by front line staff.
Word Processing/Typing- Supervises word processing staff including training of staff;
- Edits for style format and/or layout.
Information Systems/Software- Trains staff in use of agency information systems/software;
- Researches & selects hardware/software;
- Creates complex spreadsheets for department;
- Operates/manages complex databases & other software using advanced functions;
- Diagnoses and resolves hardware/software problems using substantive computer/software knowledge.
Reports- Prepares one of a kind reports gathers statistics based on information compiled from various sources draws conclusions and makes recommendations.
Personnel- Supervises all personnel administrative functions for the department;
- Reviews new departmental policies for HR implications and recommends and implements administrative changes;
- Researches and recommends solutions to nonroutine/oneofakind problems;
- Drafts and coordinates approval of documents that include boilerplate language for matters related to HR (e.g. underfill agreements);
- Works with hiring manager to coordinate appointment and review process;
- Reviews class specifications and recommends requested job classification;
- Develops administrative HRrelated procedures for agency.
Required Knowledge Skills and Abilities
(The knowledge skills and abilities listed in this specification are representative of the class but are not an allinclusive list.
Knowledge of county policies within functional area of responsibility. This may include knowledge of an outside institution dissimilar operational unit within the county or the basic principles and methods of a professional field.
Executive Assistance- Thorough knowledge of the executive/work unit heads program/area and of county administration and organization.
- Ability to maintain confidentiality and be sensitive to political issues.
- Knowledge and sensitivity to issues priorities protocol etc.
Math Skills- Basic math skills.
PC Skills- Intermediate skills in the use of applicable Microsoft Office Suite software;
- Intermediate skills in the use of agency specific software applications.
Communication- Ability to communicate well through written and oral means;
- Ability to speak in front of a group.
Information Abilities- Ability to gather integrate and analyze complex data.
Interpersonal Abilities- Ability to establish and maintain effective working relationships with both external and internal contacts.
Purchasing and Accounting- Ability to perform data entry into Purchasing/Logistics Enterprise Resource Planning systems and/or Financial Enterprise Resource Planning systems in at least eight functions.
Personnel and Payroll- Ability to perform all human Capital Management Enterprise Resource Planning system functions.
Employment Standards
MINIMUM QUALIFICATIONS:
Any combination of education experience and training equivalent to high school graduation and four years of experienceproviding administrative support in the assigned functional area(s).
NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check a Child Protective Services Registry check and sanction screening to the satisfaction of the employer. A TB screening upon hire.
PREFERRED QUALIFICATIONS:- Experience with and understands Generally Accepted Accounting Practices (GAAP).
- Experience in revenue cycle management including the handling of insurance claims payment postings insurance follow up denial and appeals processes.
- Experience using billing systems and electronic health record (EHR) platforms ability to effectively use and navigate all payer portals. Ability to document EHR in professional appropriate accurately depicts actions performed and is in accordance with departmental quality review standards.
- Excellent customer service skills with the ability to interact in a friendly serviceoriented professional manner with internal and external customers.
- Experience interpreting and making decisions based on policies and procedures.
- Supervisory experience to include planning organizing coordinating assigning and evaluating the work of staff.
- Ability to work independently and in a team environment be proactive exercise good judgement and use critical thinking skills.
- Have excellent verbal and written communication skills and advanced proficiency with MS Excel Pivot Tables Outlook and Word.
- Demonstrated ability to work with limited supervision set priorities and multitask.
- Demonstrated ability in resolving complex problems in a teambased environment balancing multiple priorities making presentations to senior managers and groups.
The work is generally sedentary and is usually performed in an office environment. Make presentations and communicate clearly and concisely both orally and in writing. All duties performed with or without reasonable accommodations.
SELECTION PROCEDURE:
Panel Interview and may include a practical exercise.
The population of Fairfax County is very diverse where 38.7 of residents speak a language other than English at home Spanish Asian/Pacific Islander IndoEuropean and others and we encourage candidates bilingual in English and a foreign language to apply to this opportunity.
Fairfax County Government prohibits discrimination on the basis of race color religion national origin sex pregnancy childbirth or related medical conditions age marital status disability sexual orientation gender identity genetics political affiliation or military status in the recruitment selection and hiring of its workforce.
Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. TTY. EEO/AA/TTY.
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Required Experience:
Unclear Seniority
Employment Type
Full-Time
