Principal Fiscal Analyst, Receivables

Introduction

Prince William County Community Services is looking for a motivated individual to join our reimbursement team. We are a large community-based behavioral health organization. The position will serve as the Accounts Receivable Supervisor, Principal Fiscal Analyst, with responsibilities including managing the daily operations for medical service billing activities, client financial statements, medical coding, charge entry, claims submissions, payment posting, accounts receivable, aging, clearing house, insurance portals, and reimbursement accounts management. This position will supervise 9 staff, assigning work to ensure compliance with all payer regulations and prepare monthly fiscal reports. Must have computer skills to be proficient with various computer applications, proficient in Microsoft Office utilized in the course of duties. Strong communication and interpersonal skills are required to work with professional staff and clients. Individual must demonstrate problem-solving, analytical, and sound judgement skills.

ABOUT THIS ROLE

This position will directly supervise 9 staff and be responsible for the oversight and management of the Insurance Aged Receivables and the import of all electronic payments into the E.H.R. for all Outpatient and Community Mental Health Rehabilitative services. Responsibilities include the following:

• Oversee the operations of the billing team, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable activities, and reimbursement supervision.

• Plan and assign staff work to ensure accurate billing and efficient account collections.

• Analyze and audit billing and claims for accuracy, completeness, and timely posting.

• Prepare and analyze accounts receivable reports including aging, clearing house, and debt collections in concert with Revenue Business Services Administrator. Collects and compiles statistical reports needed for federal, state, payer compliance.

• Daily import of electronic payments and review of the clearinghouse and Insurance portals.

• Daily upload of electronic payments into the electronic health record and verify accurate client account updates.

• Oversee reimbursement staff's distribution of electronic payments, claims submissions, for accuracy and timeliness.

• Review of unworked claim edits and rejections and determine necessary corrective action.

• Review, Analyze and determine denial trends and billing matrix errors on unpaid services.

• Oversight of reimbursement staff to ensure the aged receivables are being worked aggressively.

• Oversight of the Medicaid Authorization process to ensure authorizations are being requested and submitted in a timely manner.

• Audit reimbursement process for efficiency and effectiveness and recommend or develop business process efficiencies to improve billing accuracy and maximize revenue collections.

• Stay abreast of new or changing Medicaid and payer regulations to maintain compliance.

• Audit daily deposit.

• Completion of Monthly financial reconciliation between the E.H.R. and County financial system.

• Participation in monthly meetings with Medicaid and Insurance payers.

• Preparation of monthly financial reports for Leadership.

• Monthly/weekly supervision of staff and completion of annual evaluations.

• Ensure agency is compliant with all state, federal, government, and payer billing regulations. Other duties as assigned.

MINIMUM QUALIFICATIONS

High school diploma or G.E.D. and 6 years ofanalytical accounts receivable administrative management experience

PREFERENCES

Experience and advanced knowledge of the following:

• The Management of Medical Insurance Accounts Receivables

• EDI Healthcare formats

• CPT ad ICD 10 coding

• HIPPA and 42CFR

• Billing to Federal and State Insurance Plans

• Onboarding, training, supervision, and evaluation of multiple staff

• A degree in Business/Healthcare Administration

• Proficiency in using Microsoft Office and Excel

SPECIAL REQUREMENTS (if applicable):

Must possess a valid driver's license.

Must pass DMV record check.

Must pass TB test.

Offer of employment is contingent upon the candidate passing a fingerprinted-based national criminal history record check.

Child Protective Services Requirements: effective 1999, mandated by the Virginia Department of Behavioral Health and Developmental Services (DBHDS) in accordance with 12VA35-105-400 rules and regulations for DBHDS Licensed Providers and related to the Criminal Registry Checks, a search of the registry of founded complaints of child abuse and neglect will be conducted by the Virginia Department of Social Services.

WORK SCHEDULE

Monday through Friday, 8:30 AM - 5:00 PM with an hour lunch. Ferlazzo building at 15941 Donald Curtis Dr, Woodridge VA 22191.

ENTRY SALARY RANGE

$74,217.00 - $88,167 Annually

Prince William County Community Services maintains a drug free workplace.

NOTE

The above position description is intended to represent only the key areas of responsibilities; specific position assignments will vary depending on the business needs of the department.

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Prince William County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer.