DSHS FFAA-Fiscal Analyst 2
FFA’s Office of Financial Recovery provides billing, accounting, and debt collection services for all of the Department of Social and Health Services, Department of Children, Youth and Families, and the Health Care Authority.
This position is assigned to the Residential Billing Unit (RBU) as part of Billing. This position requires access to the Residential Payment System (RPS) which contains electronic Personal Health Information (ePHI). This position supports the admission, billing, and collection for Behavioral Health Administration (BHA) and Developmental Disability Administration (DDA).
Duties include but are not limited to:
- Analyzing and interpreting accounting records
- Maintaining individual accounts receivables
- Processing, submitting, and distributing payments from claims
- Resolving denied claims towards resubmission
- Initiating and processing refunds, write-offs, and adjustments
Some of what you will do:
- Analyze financial reports and perform accounts payable discrepancy resolution
- Process electronic and manual CMS bills through internal systems. Upload and distribute CMS bills with internal systems based on caseload. Process bills for submission
- Submit bills and monitor for claim acceptance, check for claim approval
- Process EOBs and ERAs from MODIS and other systems. Perform cash distribution and record activity in cash distribution log
- Manage denials to resubmit claims and record activity on denial log
- Review, analyze, verify and correct the accounting data into the Agency Financial Reporting System. Code patient accounts based on post-admit changes in payers or authorizations
- Manually generate billing statements
- Prepare and process refund requests through AFRS
- Process write-off requests through reconciling accounts
- Work through MODIS to process incoming correspondence
- Process any award letters or participation changes for DD patients
- Call Medicare intermediary Noridian to resolve claims with denials or issues
- Call insurance payers to resolve claims with denials or issues
- Collaborate with facility staff regarding accuracy of billing information such as ICD10 codes or CPT codes or service dates
- Work together with RBU staff to ensure efficient collection of monies
- Work with BHA facilities and RPS IT for timeliness and accuracy of MH Census
- Work with DDA facilities, and their internal systems for timeliness and accuracy of DD Census. Work with MSD Rates team to reconcile RHC and SOLA billing
What we are looking for:
- Coachable with the ability to learn complex concepts quickly
- Adaptable to quickly changing needs and circumstances
- Creative out-of-the-box thinker who is not afraid to ask questions
- Detail-oriented with critical thinking and problem-solving skills
- Ability to communicate effectively, both orally and in writing
- Proficient with Microsoft Suite of tools
Who should apply?
Professionals who have a bachelor's degree, with a minimum of 12 semesters or 18 quarter hours in accounting, auditing, or budgeting and 1 to 2 years of relevant professional experience.
Please Note:
- Professional experience may substitute for education, but not for the accounting, audit, or budget-related credit hours
- A master's degree in a financial related field; or certification as a Public Accountant, Internal Auditor, Certified Governmental Financial Manager, or Management Accountant can be substituted for professional experience
The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring an equity, anti-racism, and social justice commitment to your work with DSHS. We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Questions? Please contact peter.bonato@dsha.wa.gov and reference job number 11348.
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
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