Accounting Technician Iii - Regional Center Resident Billing Technician

Please note: This recruitment may be used to fill multiple vacancies.

About the Division of Financial Services - Southern District Accounting:
The Division of Accounting exits to provide accountable financial information about the Colorado Department of Human Services and be of assistance to the management and all programs of the Colorado Department of Human Services, the State Controller's Office, the Federal government, county departments of social/human services, Office of the State Auditor, Federal Auditors, and others in need.
The Southern District Accounting unit provides a variety of services including patient banking, billing/revenue accounting, program accounting, p-card and travel administration, vouchering, and inventory accounting.
This work group, Banking and Patients' Accounts-Regional Centers manages the resident account billing for the three Regional Centers at Wheat Ridge (WRRC), Pueblo (PRC), and Grand Junction (GJRC); and the resident/patient banking functions for the three Regional Centers and two Mental Health Hospitals. The Colorado Revised Statutes and Department of Human Services Rules and Regulations establish requirements for patient/resident services and related fiduciary and trustee funds.
The purpose of this unit is to 1) maximize allowable revenue in accordance with the Colorado Revised Statutes and Long Bill requirements, from all sources of income, 2) determine, adjust, bill, and collect net revenue, and calculate client contribution amount for Regional Center residents, 3) serve as trustee for patient/resident funds, 4) assure that residents access all eligible benefits in a timely manner, and 5) develop and produce financial reports that accurately assess the status of all revenue requirements for agencies within the Southern Accounting District's area of responsibility.

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Regional Center Continued Resident Eligibility Management
It is essential to ensure on an on-going basis that residents receive and maintain eligibility for all benefits for which they are eligible based on their assets, income, and demographics. This information must be accurate in order for agency accountants to record revenue in CORE in a timely manner. This position must:

• Collect, record, and classify resident income and demographic data necessary to complete monthly reports, i.e., Earned Income report, Mail Census, Benefits report, Food Assistance Census, etc. Specifically, research and verify all earned income amounts reported in accordance with all State and Federal regulations and provide reporting to the SSA and appropriate county.
• Verify all assets to determine whether they are a countable resource as established by Social Security Administration (SSA) rules and regulations and complete interviews with the SSA to maintain resident eligibility.
• Review a large volume of daily mail related to residents of the Regional Centers, verify that all factual information contained in mail is accurate, i.e., identification numbers, names, county of origin, income reported, etc., in order to immediately address any discrepancies with the appropriate agency for resolution and ensure that deadlines are met.
• Review and verify outside bank accounts for adherence to State and Federal regulations.
• Complete and submit redetermination packets as they are due to the appropriate County.
• Maintain resident files in the prescribed format and keep all patient information organized, including timely filing of all incoming resident correspondence.

Regional Center Resident Patient Pay / Room & Board revenue calculation
To ensure that residents' income and assessments are accurately calculated and reported, this position must:

• Calculate, bill, and collect amounts from secondary sources of revenue from residents for Room and Board and Patient Pay. Verify posting of monthly deposits to residents' banking ledger and classify each item into the appropriate income category in order to assess resident Patient Pay for eligible individuals in the Intermediate Care Facility (ICF) programs and Room and Board for those eligible in the Home and Community Based Services for Persons with Developmental Disabilities (HCBS/DD Waiver) programs.
• Calculate monthly resident Patient Pay for Intermediate Care Facility for the Individuals with Intellectual Disabilities (ICF/IID), in accordance with Code of Colorado Regulations and any other applicable authoritative guidance, and report monthly income to applicable County through the 5615 Form, as necessary.
• Assess Room and Board charges on a monthly basis for each resident eligible for the Home and Community Based Services for Persons with Developmental Disabilities (HCBS/DD Waiver) program, based on the amount of allowable charges communicated annually from the Department of Health Care Policy and Financing (HCPF).
• Record individual Patient Pay and/or Room and Board amounts to appropriate spreadsheet/database. Input Patient Pay into the EHR system.
• Notify appropriate County of any changes associated with ICF/IID or HCBS/DD residents as they occur, i.e., address changes after an internal move, hospital stay longer than 30 days, incarceration, etc.

Regional Center Resident Claims Processing
To ensure that services provided by agencies are appropriately billed to, and payment received from, Health Care Policy and Finance (HCPF), this position must:

• Verify that claims generated and transmitted to HCPF in the EHR/billing system, and payment information, are correct and follow up on any outstanding issues.
• After processing claims, return to HCPF Web Portal to download the remittance advice reports and research any denied claims. Provide Regional Center Billing Supervisor with the reason (i.e. authorization problem, incorrect rate, etc.) and any information needed in order to rebill.

Regional Center Resident Benefit Administration

• Review admission information for completeness and contact Regional Center staff.
• Input resident identifying data in SVES (State Verification and Exchange System) to check for benefit and payee information. Interpret data returned from SVES to determine if additional applications are required to obtain maximum allowed benefits for the resident.
• Review data from Department of Social Services (County offices), Social Security Administration, and any other agencies to determine course of action necessary for each resident.
• Access on-line information from HCPF (Health Care Policy and Financing) Web Portal and CBMS (Colorado Benefits Management System) for Medicaid and/or other program eligibility.
• Submit applications/contact outside agencies in order to establish or continue patient benefits (Social Security, Medicaid, OAP, Food Assistance etc.) for Regional Center residents.
• Follow-up consistently with any applicable agencies until resident has all benefits to which they are entitled, such as, Medicaid, SSI, Food Assistance, etc.
• Document current resident data, i.e., address, guardians, phone numbers, etc., and activity relative to benefits, and their availability, interactions with other agencies, and any other pertinent resident related information on patient accounts data sheet.
• Interpret and apply all Colorado Revised Statutes, Code of Colorado Regulations, Medicaid and Social Security rules and regulations relevant to individual resident situation.
• If necessary, travel to Social Security Administration or County offices as required for resident benefit setup/issues.

Desk manual and other duties

• Maintain and update all policies and procedures in the desk manual for this position and provide to Regional Center Billing Supervisor quarterly for review.
• Complete other duties as assigned.

Minimum Qualifications:

• Three years of experience in an occupational field related to the work assigned to the position.

Substitutions:

• Appropriate education will substitute for up to two years of the required experience.

Applicants using education as a substitution MUST supply unofficial transcripts before the application deadline to the Human Resources office; applications requesting this substitution without transcripts will NOT be considered.
Stronger candidates will be those that demonstrate depth and breadth of skill and ability through a combination of work experience and formal training, to successfully perform the duties and responsibilities of this position.
Preferred Qualifications:
The exceptional applicant will be an experienced Accounting Technician and will possess the proven ability or accomplishment of the following:

• Patient billing experience preferred
• Experience processing financial transactions and maintaining accurate and complete records
• Proficiency using a 10-key calculator, keyboard skills, MS Word, Excel, and Access
• Experience with Avatar or other resident banking system
• Familiarity with Medicare/Medicaid rules and regulations
• Familiarity with Colorado Revised Statutes, and Code of Colorado Regulations related to the Regional Centers
• Familiarity with Social Security Administration rules and regulations
• Familiarity with basic office duties, i.e., e-mail, using copier, fax, and scanner
• Ability to discuss resident issues with residents, guardians, and/or their families
• Experience working with individuals who are developmentally disabled and/or have mental illness
• Strong verbal and written communication skills
• Ability to manage and resolve conflicts, confrontations, and disagreements in a positive and constructive manner to minimize negative personal impact
• Ability to develop constructive and cooperative working relationships with others, and maintain them over time
• Ability to adapt behavior and work methods in response to new information, changing conditions, or unexpected obstacles
• Ability to maintain composure and deal calmly in an environment with multiple demands on time
• Strong sense of professionalism including a strong work ethic and reliability
• Positive, friendly, cooperative demeanor; demonstrated proficiency working collaboratively with internal teams, technical professionals, and outside agencies
• Ability to work independently or as a member of a team, including communicating with peers and other professionals within and outside the agency to ensure timely completion of work projects

Desirable Skills and Competencies:

• Strong work ethic
• Dependability and responsibility
• Possessing a positive attitude
• Adaptability
• Honesty and integrity
• Ability to maintain confidentiality

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. Additionally, you will maybe required to take a drug screen.
• Must meet vaccination and documentation requirements per CMHIP Infection Control Department
• Must be able to travel for assignments, meetings, and training
• A Tuberculosis Test (TB), and other required immunizations will be required upon hire
• Former State employees who were disciplinarily terminated or resigned in lieu of termination must (1) disclose that information on the application (2) provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position, (3) provide the employee number from the applicant's 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.

The position is located on the grounds of the Colorado Mental Health Institute at Pueblo; employees in this work unit may be in contact with patients of the Institute or residents of the Pueblo Regional Center, who may be of all ages and backgrounds, and mentally ill and/or developmentally disabled. All individuals are treated with respect and dignity.
Note: This position works with...