Hoyleton Youth and Family Services
POSITION SUMMARY
Under the supervision of the Contracts and Purchasing Manager, the Senior Staff Accountant (emphasis in Revenue Cycle Management) is responsible for post-award management and monitoring for a highly complex assigned group of grants and contracts funded by federal, state, and other funding agencies as well as behavioral health Medicaid and Managed Care Organization billing. Responsibilities include full cycle processing to include, billing, aging, transaction review, financial oversight, and providing support to management for budget development. The Contracts Billing and Revenue Cycle Analyst will develop detailed knowledge of the federal, state, and/or other funding entities’ requirements for their assigned portfolio. The candidate will interpret regulations and provide financial data to principal program directors and senior staff on a continuous basis. The Analyst will work closely with external contacts to build relationships that assist in achieving the goals. The Analyst will be able to make complex decisions independently and identify when collaboration is needed with other team members and/or management.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Contract Management and Compliance: Review and develop expertise in agreements, including subawards, sub-contracts, and service agreements, ensuring billing and compliance with federal, state, and other funding entities’ requirements. Design and implement tracking procedures to meet billing and contract compliance.
Billing and Claims Management: Prepare and submit daily claims to Medicaid and third-party payers, following up on outstanding claims and ensuring compliance with Medicaid, Managed Care Plan policies, and other payer requirements. Stay updated on billing and benefit changes, verify benefits prior to service receipt, and work closely with funding agencies to resolve billing inconsistencies.
Maintain and ensure the accuracy of contracts and claims files, ensuring their availability for review by authorized personnel and auditors. Communicate billing and coding updates specific to behavioral health to relevant departments and staff.
Financial Reporting and Reconciliation: Work closely with departmental staff on financial reporting, budgeting, and reconciliation of contracts, claims, and billing. Record revenue accurately in the accounting system, post cash receipts appropriately and ensure the integrity of financial data through accurate data transmission and software updates.
Process Improvement and Compliance: Develop processes to enhance the efficiency of the Billing department and maintain comprehensive files for each contract. Identify and implement improvements to billing processes and systems, addressing compliance and operational challenges proactively. Complete tasks within set timelines to adhere to departmental standards, seeking guidance on complex issues as necessary.
SKILLS and ABILITIES
Attention to Detail: Processes detailed information effectively and consistently with a focused emphasis on accuracy.
Problem-Solving: Identifies, analyzes, and solves problems by evaluating information and generating effective solutions.
Effective Communication: Delivers clear, multi-mode communication tailored to different audiences, with strong verbal and written skills maintained at all times.
Values and Ethics: Demonstrates integrity, respect, transparency, and fairness in personal and organizational practices.
Time Management: Manages time and resources efficiently to complete work.
Technical Proficiency: Skilled in Microsoft Office Products, Medicaid Billing Software Systems (preferably CIS), and accounting software (preferably Great Plains). Knowledgeable in medical coding and terminology related to Medicaid and Managed Care Behavioral Health Billing. Familiar with HIPAA privacy and security rules.
Teamwork and Leadership: Functions effectively as a team member, understands team roles, demonstrates leadership qualities, and exercises good judgment, courtesy, and tact.
Problem Resolution: Willing and able to dispute billing and receivable discrepancies with a sense of urgency.
Professional Development: Seeks and attends training sessions related to governance and execution of Federal and Illinois-funded programs annually.
EDUCATION AND/OR EXPERIENCE
Must possess a Bachelor’s Degree from an Accredited Institution in Accounting (preferred), Finance, or Business Management.
3-5 years of experience with a computerized accounting software system, preferably Microsoft Dynamics, Great Plains, with emphasis using Smartlist and Management Reporter, and experience with automated payroll software.
3-5 years of experience and a solid understanding of Behavioral Health Medicaid /Managed Care billing and revenue reconciliation.
Demonstrate proficiency in Microsoft Excel, Word and PowerPoint.
Ability to exercise good judgment, courtesy, and tact in dealing with the public and other employees, in giving and obtaining information, and in making proper disposition of problems as they may arise.
REQUIREMENTS
Must be at least 21 years of age
Must possess and maintain a valid driver’s license
Must possess and maintain proof of vehicle insurance
CARE & TCI
One of the essential job functions of any position within the agency is to align your performance with our overarching philosophy of CARE. All decisions, actions, communication, and performance should align with the six CARE principles (Developmentally Focused, Family Involved, Relationship Based, Ecologically Oriented, Competence Centered, and Trauma Informed). Not only must you complete the CARE training with satisfactory participation, but you must then put that training into practice in your everyday work.
Every employee must also pass TCI training with a satisfactory grade in written and/or physical testing. All employees must remain current on refresher training that is provided monthly at all locations. You will be tested every 6 months on the physical portion, if applicable to your position. You will be tested annually on the written portion regardless of your position. If you are not current on your TCI refresher training every six months, you will be required to retake the full course. If you do not pass either test, you may be required to retake the full course. Not only must you complete the TCI training with satisfactory participation, but you must then put that training into practice in your everyday work.
EQUIPMENT USED
Computer, Copy Machine, Calculator, Smart Phone, Fax Machine and Telephone
Please click on the link to apply for the position.
https://hoyleton.applicantpro.com/jobs/3269551
