Patient Financial Services Manager Program Management II

Weekly Hybrid Working Arrangements

Minimum 2 days In Office and Maximum 3 days Remote Work

8-5 PM

Mondays and Tuesdays in-office

This position will comply with theCFOs officecurrent

working arrangements.

Please note: Work arrangements are subject to change at any time.

About This Position
The purpose of this position is to serve as the Manager of Patient Financial Services for Colorados two Mental Health Hospitals in Pueblo and Fort Logan. 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 Colorados financial system pursuant to Colorado State Statutes for patients admitted to the hospitals. Responsible for the determination of payment liability for patients sent to outside acute hospitals monthly reconciliation of revenue with analysis and reporting.
Other duties include:

Organizational Management and Supervision:

• Unit supervisor for 10 staff members including direct supervision of 3 individual units: Medicare/Other Insurance Medicaid/Self- pay and Audit including 3 professional staff 6 technicians.
• Develops performance plans and evaluations; approves performance plans and evaluations; administers corrective actions; initiates disciplinary actions; approves leaves; assigns work schedules; resolves informal grievances; establishes acceptable work standards; sets priorities; initiates hiring process; interviews possible applicants; recommends hire promotion or transfer.
• 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 and Fiduciary Duties.
• Interprets analyzes and keeps apprised of current and proposed reimbursement regulations statutory requirements and legislation that may affect reimbursement.
• Represent the Division and/or Agency as assigned in providing expertise in patient billing and revenue issues or any other matters as assigned.
• Responsible for revalidating Medicare and Medicaid enrollments and updating them when changes occur.
• Provide expertise guidance direction and training to Patient Financial Services personnel. Communicate internal and external goals process changes and roles/responsibilities to employees. Formulate and implement new processes and improvements to workflow and problem resolutions.
• Schedule and assign workload at the department and functional unit levels establish and review acceptable work standards and expectations for staff. Provide project support to managers to meet state department and internal objectives.
• Position is exempt and may be required to work in excess of 40 hours per week to complete assigned duties meet deadlines or as requested by supervisor.

• Report the financial status of the Mental Health Hospitals at Pueblo and Fort Logan to the 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 ensure compliance with legislative appropriations.
• Explore all sources of reimbursement thoroughly pursue all avenues of appeal and appropriately apply the Ability to Pay (ATP) procedures.
• Review patients personal funds by acting as fiduciary or personal representative in order to ensure that patients do not unnecessarily become ineligible for benefits thus protecting patient assets in accordance with all governmental and statutory requirements. This may include meeting with patients patients family and/or hospital staff to discuss and provide guidance for financial issues that may arise.
• Represent the Colorado Department of Human Services as a witness in estate bankruptcy settlements and court hearings regarding claim appeals and debt collection proceedings to ensure the Department gets appropriate reimbursement for provided services.
• May be required to drive a state vehicle to out-of-town meetings to represent CDHS as needed.
• 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.

• Responsible for Patient Financial Services annual State Financial Audit financial components of program and performance audits CDHS Internal audits fiscal fraud audits or audits of external entities for Patient Financial Services processes and transactions.
• Responsible for preparing variance analysis documentation and explanations developing audit finding responses creating and implementing internal controls policies and procedures to comply with audit recommendations.

• Any other duties that may arise in the course of performing duties of this position that arent covered in the above duty statements.

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.

• Experience in Accounting Healthcare Billing Revenue Reconcilitation Booking/Recording Revenue and AR collections.

• Education in Healthcare Admin Accounting or Finance.

• Experience in extracting and analyzing financial data; proficiency in using Microsoft Office (Access Excel Word and PowerPoint); and 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.

• Previous State Experience.

• Experience with Avatar and CORE.

• Familiar with patient billing Medicare/Medicaid rules and regulations Colorado Revised Statutes related to billing and the Institutes Social Security Administration rules and regulations and experience with supervision.

• Ability to communicate with patients their families etc.

• Proficient with Microsoft Access.

• Proficient with Microsoft Word.

Special Qualifications:

• Required knowledge and experience in Health Care Provider reimbursement methodologies including but not limited to: Capitation Fee For Service Per Diem Case Rate Stop Loss Percentage of Billed Charges and working knowledge of various healthcare codes (CPT DRC HCPC ICD Revenue and others). Extensive understanding of Accounting principles entering Journal Entries and interactions on the general ledgers and revenue reconciliation.

Conditions of Employment:

• Full background check and reference check required

• This position requires State of Colorado residency at the time of application (unless otherwise identified in the posting) and residency within the state throughout the duration of employment in this position.

• Motor Vehicle Check

• Must possess a valid non-restricted Colorado Drivers License or an non-restricted U.S. Drivers License for positions within 30 miles of the CO state border

• Out-of-State Drivers License holders must obtain a valid non-restricted Colorado Drivers License within 30 days of employment start date.

• Travel: Occasional travel necessary to attend training using state fleet vehicle

• Other: TB Testing and any other vaccinations required by the State of Colorado
  May be required to work in excess of 40 hours per week to complete assigned duties meet deadlines or as requested by supervisor.

• Former State employees who were disciplinarily terminated or resigned in lieu of termination must:

1. Disclose that information on the application.

2. Explain why the prior termination or resignation should not disqualify you from the current position.

3. Provide your employee number from your prior State employment. Absent extraordinary circumstances prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.

Employment history is calculated on a full-time basis (40/hrs per week). Part-time employment is calculated on a prorated basis to determine qualifications. Be sure your application specifically addresses your qualifications experience work products and accomplishments as they relate to the position and minimum requirements.

• Preferred Qualifications & Competencies:

  • Relevant years of state service experience.

A Human Resources Analyst will review the work experience/job duties sections of the online job application to determine whether your experience meets the minimum qualifications for the position. You must complete the official State of Colorado online application. Cover letters and resumes WILL NOT be reviewed during the minimum qualifications screening process. You must specifically document your work experience and qualifications. Do not use see resume or see attached.

After minimum qualification screening the comparative analysis process will involve a review and rating of all the information you submit.

Document your work experience/job duties to the extent to which you possess the skills education experience minimum qualifications and preferred qualifications.

If listed answer all supplemental questions as your answers to these questions will be evaluated during this phase. Provide at least 4-8 sentences for each supplemental question.

Answer the supplemental questions completely and thoughtfully. We will rate your answers based on the content of your response and your writing skills (spelling grammar and clarity of your writing).

You may file an appeal with the State Personnel Board or request a review by the State Personnel Director if your application is eliminated. You will find the appeals process the official appeal form and how to deliver it on theState Personnel Boardwebsite.

• You or your representative must sign and submit the official appeal form for review.

• You can find the official appeal formhere.

• You must be deliver the official appeal form to the State Personnel Board:

  • By email () or

  • Postmarked in US Mail to(1525 Sherman Street 4th Floor Denver CO 80203 or

  • Hand delivered (1525 Sherman Street 4th Floor Denver CO 80203) or

  • Faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the departments action.

Contact the State Personnel Board for assistance:

• At or

• Refer to the Colorado Code of Regulations (CCR) 801-1 State Personnel Board Rules and Personnel Directors Administrative Procedures Chapter 8 Resolution of Appeals and Disputes within theRuleswebpage.

• How to apply to the State of Colorado(Youtube Video Runtime 3:59 Closed Captions Available)

• The Assessment Process

• ForStatewide Hiring Freeze NON-EXEMPTEDpositionONLY:

  • This job offer is contingent upon funding availability from all sources including state and federal (if applicable) to start or continue.

• For additional recruiting questions please contact Jeru Marshall:

If your goal is to build a career that makes a difference join the dedicated people of theColorado Department of Human Services(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.Each of us is committed to contributing to a safe and accessible CDHS. In addition to a great location and rewarding and meaningful work we offer:

• Strong secure yet flexible retirement benefits including aPERA Defined Benefit Plan or PERA Defined Contribution Planplus 401(k) and 457 plans

• Medicalanddentalhealth plans

• Employer supplementedHealth Savings Account

• Paid life insurance

• Short- and long-term disability coverage

• 11 paid holidays per year plus vacation and sick leave

• State of ColoradoEmployee BenefitHub Resource Center

• Employee Wellness program

• Excellent work-life programs such as flexible schedules training and more

• Remote work arrangements for eligible positions

• *Some positions may qualify for thePublic Service Loan Forgiveness Program.

• We believe in a people-first approach: We prioritize the needs well-being and dignity of the individuals families and communities we serve. We commit to respect fairness and access in every decision policy and interaction. We engage client voices and experiences in the development and implementation of the services we provide.

• 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.

CDHS is committed to a Colorado for 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.

This includes completing the application process interviewing completing any pre-employment testing participating in the employee selection process and/or performing 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.

The State of Colorado is an equal opportunity employer

We are committed to increasing aColorado for ALLof our staff and providing culturally responsive programs and services. Therefore we encourage responses from people of all backgrounds and abilities. The State of Colorado believes that a Colorado for ALL drives our success and we encourage candidates from all identities backgrounds and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore in all aspects of the employment process we provide employment opportunities to all qualified applicants without regard to race color religion sex disability age sexual orientation gender identity or expression pregnancy medical condition related to pregnancy creed ancestry national origin marital status genetic information or military status (with preference given to military veterans) or any other protected status in accordance with applicable law.

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 Mon-Fri between 6 am and 6 pm (Pacific Time). Helpful hints: if you are having difficulty uploading or attaching documents to your application 1) ensure your documents are PDF or Microsoft Word files and 2) close the document before you attempt to upload (attach) it.