Colorado State Technician IV in Pueblo, Colorado
$4,144.00 - $5,848.00 Monthly
Colorado Department of Human Services
IHA 03702 03/29/2018
5/1/2018 11:59 PM Mountain
If your goal is to build a career that makes a difference, consider joining the dedicated people of the Colorado 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. In addition to a great location and rewarding
and meaningful work, we offer:
Employee wellness programs
Strong, secure, yet flexible retirement benefits including PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401K and 457 plans
Medical and dental health plans
Paid life insurance
Short and long-term disability coverage
10 paid holidays per year plus vacation and sick leave
Excellent work-life programs, such as flexible schedules, training opportunities, and more
*Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, go to http://www.tgslc.org/borrowers/public-service/
Our Culture & Environment
Our vision is that the people of Colorado will be safe, healthy, and prepared to achieve their greatest aspirations. Through our core values listed below, CDHS staff are committed to:
Making decisions with, and acting in the best interests of the people we serve, because Colorado's success depends on their well-being
Sharing information, seeking input, and explaining our actions because we value accountability and transparency
Managing our resources efficiently because we value stewardship
Promoting a positive work environment, and supporting and developing employees, because their performance is essential to Colorado's success
Meaningfully engaging our partners and the people we serve because we must work together to achieve the best outcomes
Committing to continuous learning because Coloradans deserve effective solutions today and forward-looking innovation for tomorrow
Office of Behavioral Health
The Mental Health Institutes at Fort Logan and Pueblo ("Institutes"), under the auspices of the Office of Behavioral Health (OBH), partners with patients, families and their communities to provide quality services that assist patients in achieving their mental health and health care goals. In addition, Mental Health Institute at Pueblo is the only Colorado facility with a forensic division that serves adults who are found Not Guilty by Reason of Insanity or found Incompetent to Proceed. This position is located at the Colorado Mental Health Institute at Pueblo.
The Institutes' Chief Financial Officer's (CFO) office is an organizational work unit within the Administrative Services Unit, in the Office of Behavioral Health. This work unit is responsible for the budget development, management and monitoring of all Institute resources (fiscal/FTE), as well as contract facilitation and management, and hospital revenue cycle. This unit is responsible for responding to all fiscal oriented subject matter in relation to federal, legislative, departmental and external stakeholders including providers. This position will report to the Institutes CFO Office-- Patient Accounts Unit.
This position exists primarily to review patient insurance eligibility and prepare and submit claims to third-party payers for assigned agencies and programs within the Colorado Department of Human Services (CDHS).
All work is completed in accordance with generally accepted accounting principles (GAAP), the Governmental Accounting Standards (GASB) standards and guidance, state and federal
and state fiscal rules.
The primary customer of this work unit is the Mental Health Institute at Pueblo and
Fort Logan. Accordingly, the work unit provides services to all people on campus, of all ages and backgrounds, including the mentally ill and developmentally disabled.
Description of Job
What You'll be Doing
This position exists to provide support to agencies within the Department of Human Services by performing the following functions:
Prepare and submit claims to third-party payers, which may include Medicare, Medicaid, Behavioral Healthcare Organizations IBHO) Managed Care, now Regional Entity (RAE), Courts, Patients and any other third party payer benefits a patient may be eligible to receive
Identify and/or develop third party resources for all patients, to include requests for information from Medicare/Social Security Administration, Medicaid, Departments of Social Services, BHO, Veterans' Administration and other applicable agencies to verify if patient is receiving or eligible to receive benefits on own, spouse's or parents' work record
Review and record information received from patient, family and other sources.
Reviews Remittance Advice (RA) and Explanation of Benefit (EOB) forms to verify payment equals billed charges less any contractual allowances, co-insurance, and/or deductible amounts.
Reviews Payments posted in the billing system to ensure they were posted correctly by the Banking Department.
Documents payment and adjustment details to a patient's account in the patient's billing notes.
Adjusts individual accounts when new benefit information is received and/or when current benefits change.
Adjustments are made in accordance with the Colorado Revised Statutes ICRSP in order to reflect correct revenue based on: 1) Collection of payments, or 2) receipt of additional information.
Review payments from third party payers and patient/family/responsible party for correctness and coordination of billing.
Respond to inquiries and correspondence from patients, outside agencies, patients' families, and/or others such as attorneys or conservators.
Notify immediate supervisor of any possible problems or issues with accounts
Our Primary customers are the Mental Health Institutes, and we provide services to all people on campus, of all ages and backgrounds, including the mentally ill and developmentally disabled.
Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights
Work Schedule: This position will be scheduled to work Monday through Friday from 8:00 a.m. - 5:00 p.m. Occasionally, additional work days or work hours may be needed.
Work Environment: The Colorado Mental Health Institute at Pueblo is a secure facility. Work is performed in a secure facility providing safety and security for clients and fellow workers. The Patient Accounts Billing Office is a secure enclosed cubicle office space.
MINIMUM QUALIFICATIONS, SUBSTITUTIONS, CONDITIONS OF EMPLOYMENT & APPEAL RIGHTS:
Four (4) years of Medicare medical billing experience
Four years of medical billing or other than that listed may substitute for the required experience.
Two years of college, university or non-correspondence business school which included eighteen (18) semester credit hours of healthcare administration can substitute for up to two years of the required experience.
*A legible copy of college or university transcripts must be submitted in order for applicants to receive credit for the education requirement
Experience in Medicare Part A and Part B Inpatient Psychiatric billing
Familiar with Center for Medicare/Medicaid (CMS) billing rules and regulations
Familiar with billing on a UB-04 claim form
Familiar with Health Insurance Portability and Accountability Act (HIPAA)
Customer service experience
Experience with Electronic Health Record Billing System
Excellent interpersonal skills
Strong verbal and written communication skills
Ability to work independently or as part of a team, including communicating with peers and other professionals within and outside the agency to ensure timely payments and completion of work projects
Excellent problem solving skills
Basic math skills
Microsoft Office Suite proficiency, particularly Excel and Word
Basic filing skills
Familiarity with basic office duties, e-mail, using copier, fax, and scanner
Highly Desirable Knowledge, Skills & Abilities
Ability to work independently with little or no direction
Demonstrated working knowledge of Generally Accepted Accounting Principles and Practices;
Demonstrated working knowledge of state of Colorado fiscal rules;
Demonstrated working knowledge of Microsoft Office suite, specifically Word, Excel, & Access;Ability to locate and identify discrepancies utilizing spreadsheets and other written communications;
Ability to work with confidential information, and maintain confidentiality;?
Ability to effectively communicate in both written and oral format;
Ability to develop constructive and cooperative working relationships with others, and maintain them over time;
Ability to identify the needs and expectations of business partners, and
demonstrate commitment to effectively meet those needs and expectations;
Ability to adapt behavior and work methods in response to new information, changing conditions, or unexpected obstacles..
Ability to manage and resolve conflicts, confrontations, and disagreements
in a positive and constructive manner to minimize negative personal impact.
Conditions of Employment
The successful candidate in this position must be willing and available to submit to the following conditions:
Must will be willing to submit to and able to successfully pass a criminal background check & pre-employment drug screening
Must be willing to work with confidential information
Must possess and maintain a valid Colorado driver's license and be able to travel to meetings at various locations, conferences, and training, with occasional overnight travel
If you receive notice that you have been eliminated from consideration for the position, you may protest the action by filing an appeal with the State Personnel Board/State Personnel Director within 10 days from the date you receive notice of the elimination.
Also, if you wish to challenge the selection and comparative analysis process, you may file an appeal with the State Personnel Board/State Personnel Director within 10 days from the receipt of notice or knowledge of the action you are challenging.
Refer to Chapters 4 and 8 of the State Personnel Board Rules and Personnel Director's Administrative Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative Procedures are available at www.colorado.gov/spb.
A standard appeal form is available at: www.colorado.gov/spb. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your representative, and received at the following address within 10 days of your receipt of notice or knowledge of the action: Colorado State Personnel Board/State Personnel Director, Attn: Appeals
Processing, 1525 Sherman Street, 4th Floor, Denver, CO 80203. Fax: 303-866-5038. Phone: 303-866-3300. The ten-day deadline and these appeal procedures also apply to all charges of discrimination.
Any person with a disability as defined by the Americans with Disabilities Act (ADA) may be provided a reasonable accommodation upon request to enable the person to complete an employment assessment. To receive the accommodation, the person making the request must present medical documentation that describes the impairment which justifies the accommodation. Because it requires several days for CDHS to evaluate the request and prepare for the accommodation, it is essential for the person who believes he/she may need an accommodation to locate or obtain the documentation that he/she intends to submit well in advance of the assessment date. Failure to provide the medical documentation three days in advance of a comparative analysis could make it impossible for CDHS to prepare for and provide the requested accommodation. To request a reasonable accommodation for this assessment, please contact Bridget Clawson Braaten at 303-866-4373 or firstname.lastname@example.org or the contact listed on this announcement three days before the assessment date.
Applicants are encouraged to attach a cover letter and resume to their application.
The selection process will consist primarily of a review of applications against the minimum and preferred qualifications of this position. Applications will be reviewed in comparison to all others in the applicant pool in order to identify a top group of up to 6 candidates who may be invited for a final interview. Depending on the size of the applicant pool, additional selection processes may be utilized to identify a top group of candidates. Applicants will be notified of their status via email.
Please be aware the application review is based solely upon the information provided in your application packet, especially the Work Experience and Supplemental Questions sections of your application. Therefore, it is imperative that you provide extensive detail in these sections of your application.
Note: Transfers, voluntary demotions and reinstatements are required to apply and participate in the selection process.
Former employees of the Colorado Department of Human Services (CDHS) who were disciplinary terminated or resigned in lieu of termination must disclose the information on your application and may not be eligible for employment at CDHS.