Solano County, CA
Fairfield, California, United States
At Solano County, our mission is to serve the people and to provide a safe and healthy place to live, learn, work and play. The County of Solano's diverse workforce is committed to fulfilling this mission and does so by exemplifying our IDEAL Core Values, engaging in our day-to-day work of serving the public with Integrity, Dignity, Excellence, Accountability, and Leadership. The mission of Solano County Health and Social Services Department is to promote healthy, safe and stable lived. To learn more about the Health and Social Services Department click here. THE POSITION The Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services’ Medical Billing Unit; assists in developing, implementing and maintaining the department-specific patient accounting and billing systems; serves as the electronic health record billing liaison between the County and the State; and resolves technical billing problems in coordination with the claim management system and clearing house provider. THE IDEAL CANDIDATE The ideal candidate will be highly organized and detail-oriented with extensive experience in reviewing, reconciling, processing, and maintaining fiscal transactions, accounts, and/or statistical data and records . A strong foundation in medical billing is expected in this role. The candidate should have a working knowledge of methods, practices, and terminology used in insurance and medical billing and also possesses knowledge of fundamental accounting principles. The Medical Billing Supervisor must be adept at managing competing demands, multiple priorities, and reflect the County’s Core Values. EDUCATION AND EXPERIENCE Education: Associate degree or equivalent from an accredited college or university with a major in medical billing and coding, healthcare accounting, or a field closely related to the intent of the class. Education must have included healthcare industry rules and regulations and current procedural code sets and guidelines for medical billing and coding AND Experience: Three (3) years of direct experience in medical billing and coding or medical accounts receivables; of which one year must have been lead or supervisory experience in any field. LICENSING, CERTIFICATION AND REGISTRATION REQUIREMENTS Possession of one (1) of a valid and current certification is required, such as a: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Documentation Expert-Outpatient (CDEO), Certified Professional Coder (CPC), or related certification from a recognized accredited college, university, or professional association (e.g., American Academy of Professional Coders (AAPC) or American Medical Billing Association (AMBA)). The position may require the possession of a California Driver’s License, Class C. Note: Employees must keep their licenses, certifications and registrations current while employed in this class and failure to do so may constitute cause for personnel action in accordance with Civil Service Rules and/or applicable bargaining agreement. Click here for Medical Billing Supervisor Job Description The eligible list created as a result of this recruitment will be used to fill full-time and part-time regular, limited-term or extra-help positions as vacancies occur throughout the County. SELECTION PROCESS 5/03/2024 - 5:00pm Deadline to submit application and required documents for first application review. 5/24/2024 - 5:00pm Deadline to submit application and required documents for next application review. Based on the information provided in the application documents, the qualified applicants may be invited for further examination and will either be pre-scheduled by the Department of Human Resources or be invited to self-schedule. All applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination . Depending upon the number of applications received, the selection process may consist of an initial application screening, a mandatory information meeting, a supplemental questionnaire assessment, a written and/or practical exam, an oral board exam, or any combination listed. Responses to supplemental questions may be used as screening and testing mechanisms and will be used to assess an applicant’s ability to advance in the process; as such, responses to supplemental questions should be treated as test examination responses. Information contained herein does not constitute either an expressed or implied contract. A minimum score of 70% is required to continue in the selection process, unless otherwise announced. All potential new hires and employees considered for promotion to management, confidential positions or unrepresented positions will be subject to a background and reference check after contingent job offer is accepted. These provisions are subject to change. RETIREES - Solano County invites all to apply for positions; however pursuant to Government Code Section 21221(h) and 21224, hiring restrictions may apply to California Public Sector Pension Plan Retirees. HOW TO APPLY Applications must be submitted through the NEOGOV system. Paper copies of applications are not accepted. All additional application materials as requested in the job announcement (degree/transcripts, certificates, DD-214 if applicable, ADA Accommodation Request) must be submitted by the application review deadline. Previously submitted application materials (i.e. copies of diploma and/or transcripts, etc.) for prior recruitments will not be applied for this recruitment but must be re-submitted for this recruitment . Any further questions can be directed to the Department of Human Resources at (707) 784-6170, business hours are Monday-Friday, 8:00 a.m.-5:00 p.m. EOE/AA Please note that all dates/times listed in the job announcement are Pacific Time. DOCUMENT SUBMITTAL REQUIREMENTS Education and certification verification is required for this position . All candidates must submit a copy of the following by the application review deadline. A valid and current certification, such as a: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Documentation Expert-Outpatient (CDEO), Certified Professional Coder (CPC), or related certification from a recognized accredited college, university, or professional association (e.g., American Academy of Professional Coders (AAPC) or American Medical Billing Association (AMBA). Official/unofficial transcripts (verifying the courses and units completed) or degree (verifying institution, student, date, degree and area of specialization conferred) must be attached by the application review deadline. Candidates who fail to submit their degree/transcripts by the deadline will be disqualified from the recruitment. PLEASE NOTE THE FOLLOWING: Candidates who attended a college or university that is accredited by a foreign or non-U.S. accrediting agency must have their educational units evaluated by an educational evaluation service. The result must be submitted to the Human Resources Department no later than the application review deadline. Please contact the local college or university to learn where this service can be obtained. How to Submit Your Documents In addition to uploading attachments when applying online, candidates may submit documents by fax to (707) 784-3424, or by email to recruitment@solanocounty.com. Be sure to include the recruitment title (Medical Billing Supervisor) and the recruitment number (24-705030-01) in your email or fax. VETERAN'S PREFERENCE POINTS To be eligible, applicant must have served at least 181 consecutive days of active duty in the Armed Forces of the United States and have received either an honorable discharge or a general discharge under honorable conditions. A COPY OF THE DD 214, SHOWING DISCHARGE TYPE (GENERALLY COPY 4), MUST BE RECEIVED IN THE HUMAN RESOURCES DEPARTMENT BY THE APPLICATION REVIEW DEADLINE. Applicants who have a service-connected disability must also submit a recent award letter from the VA stating they are receiving disability benefits for service-connected reasons. Veteran applicants for initial County employment with an honorable or general under conditions discharge shall receive five (5) points added to their combined score. Disabled veterans rated at not less than 30% disability shall have ten (10) points added to their combined score. Veteran’s preference points will only be added to passing scores in competitive open examinations. We offer a benefits package to employees which includes health care, dental, vision, retirement, deferred compensation plans, flexible spending accounts, life insurance, holidays, vacation, and sick leave. To learn more, view our benefits summary . Closing Date/Time: Continuous
Apr 14, 2024
Full Time
At Solano County, our mission is to serve the people and to provide a safe and healthy place to live, learn, work and play. The County of Solano's diverse workforce is committed to fulfilling this mission and does so by exemplifying our IDEAL Core Values, engaging in our day-to-day work of serving the public with Integrity, Dignity, Excellence, Accountability, and Leadership. The mission of Solano County Health and Social Services Department is to promote healthy, safe and stable lived. To learn more about the Health and Social Services Department click here. THE POSITION The Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services’ Medical Billing Unit; assists in developing, implementing and maintaining the department-specific patient accounting and billing systems; serves as the electronic health record billing liaison between the County and the State; and resolves technical billing problems in coordination with the claim management system and clearing house provider. THE IDEAL CANDIDATE The ideal candidate will be highly organized and detail-oriented with extensive experience in reviewing, reconciling, processing, and maintaining fiscal transactions, accounts, and/or statistical data and records . A strong foundation in medical billing is expected in this role. The candidate should have a working knowledge of methods, practices, and terminology used in insurance and medical billing and also possesses knowledge of fundamental accounting principles. The Medical Billing Supervisor must be adept at managing competing demands, multiple priorities, and reflect the County’s Core Values. EDUCATION AND EXPERIENCE Education: Associate degree or equivalent from an accredited college or university with a major in medical billing and coding, healthcare accounting, or a field closely related to the intent of the class. Education must have included healthcare industry rules and regulations and current procedural code sets and guidelines for medical billing and coding AND Experience: Three (3) years of direct experience in medical billing and coding or medical accounts receivables; of which one year must have been lead or supervisory experience in any field. LICENSING, CERTIFICATION AND REGISTRATION REQUIREMENTS Possession of one (1) of a valid and current certification is required, such as a: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Documentation Expert-Outpatient (CDEO), Certified Professional Coder (CPC), or related certification from a recognized accredited college, university, or professional association (e.g., American Academy of Professional Coders (AAPC) or American Medical Billing Association (AMBA)). The position may require the possession of a California Driver’s License, Class C. Note: Employees must keep their licenses, certifications and registrations current while employed in this class and failure to do so may constitute cause for personnel action in accordance with Civil Service Rules and/or applicable bargaining agreement. Click here for Medical Billing Supervisor Job Description The eligible list created as a result of this recruitment will be used to fill full-time and part-time regular, limited-term or extra-help positions as vacancies occur throughout the County. SELECTION PROCESS 5/03/2024 - 5:00pm Deadline to submit application and required documents for first application review. 5/24/2024 - 5:00pm Deadline to submit application and required documents for next application review. Based on the information provided in the application documents, the qualified applicants may be invited for further examination and will either be pre-scheduled by the Department of Human Resources or be invited to self-schedule. All applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination . Depending upon the number of applications received, the selection process may consist of an initial application screening, a mandatory information meeting, a supplemental questionnaire assessment, a written and/or practical exam, an oral board exam, or any combination listed. Responses to supplemental questions may be used as screening and testing mechanisms and will be used to assess an applicant’s ability to advance in the process; as such, responses to supplemental questions should be treated as test examination responses. Information contained herein does not constitute either an expressed or implied contract. A minimum score of 70% is required to continue in the selection process, unless otherwise announced. All potential new hires and employees considered for promotion to management, confidential positions or unrepresented positions will be subject to a background and reference check after contingent job offer is accepted. These provisions are subject to change. RETIREES - Solano County invites all to apply for positions; however pursuant to Government Code Section 21221(h) and 21224, hiring restrictions may apply to California Public Sector Pension Plan Retirees. HOW TO APPLY Applications must be submitted through the NEOGOV system. Paper copies of applications are not accepted. All additional application materials as requested in the job announcement (degree/transcripts, certificates, DD-214 if applicable, ADA Accommodation Request) must be submitted by the application review deadline. Previously submitted application materials (i.e. copies of diploma and/or transcripts, etc.) for prior recruitments will not be applied for this recruitment but must be re-submitted for this recruitment . Any further questions can be directed to the Department of Human Resources at (707) 784-6170, business hours are Monday-Friday, 8:00 a.m.-5:00 p.m. EOE/AA Please note that all dates/times listed in the job announcement are Pacific Time. DOCUMENT SUBMITTAL REQUIREMENTS Education and certification verification is required for this position . All candidates must submit a copy of the following by the application review deadline. A valid and current certification, such as a: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Documentation Expert-Outpatient (CDEO), Certified Professional Coder (CPC), or related certification from a recognized accredited college, university, or professional association (e.g., American Academy of Professional Coders (AAPC) or American Medical Billing Association (AMBA). Official/unofficial transcripts (verifying the courses and units completed) or degree (verifying institution, student, date, degree and area of specialization conferred) must be attached by the application review deadline. Candidates who fail to submit their degree/transcripts by the deadline will be disqualified from the recruitment. PLEASE NOTE THE FOLLOWING: Candidates who attended a college or university that is accredited by a foreign or non-U.S. accrediting agency must have their educational units evaluated by an educational evaluation service. The result must be submitted to the Human Resources Department no later than the application review deadline. Please contact the local college or university to learn where this service can be obtained. How to Submit Your Documents In addition to uploading attachments when applying online, candidates may submit documents by fax to (707) 784-3424, or by email to recruitment@solanocounty.com. Be sure to include the recruitment title (Medical Billing Supervisor) and the recruitment number (24-705030-01) in your email or fax. VETERAN'S PREFERENCE POINTS To be eligible, applicant must have served at least 181 consecutive days of active duty in the Armed Forces of the United States and have received either an honorable discharge or a general discharge under honorable conditions. A COPY OF THE DD 214, SHOWING DISCHARGE TYPE (GENERALLY COPY 4), MUST BE RECEIVED IN THE HUMAN RESOURCES DEPARTMENT BY THE APPLICATION REVIEW DEADLINE. Applicants who have a service-connected disability must also submit a recent award letter from the VA stating they are receiving disability benefits for service-connected reasons. Veteran applicants for initial County employment with an honorable or general under conditions discharge shall receive five (5) points added to their combined score. Disabled veterans rated at not less than 30% disability shall have ten (10) points added to their combined score. Veteran’s preference points will only be added to passing scores in competitive open examinations. We offer a benefits package to employees which includes health care, dental, vision, retirement, deferred compensation plans, flexible spending accounts, life insurance, holidays, vacation, and sick leave. To learn more, view our benefits summary . Closing Date/Time: Continuous
Introduction Patient Financial Supervisor by Employment Services Team TYPICAL DUTIES Supervises, assigns, coordinates, and evaluates the work of clerical staff performing complex billing and/or collection processes; monitors work flow and implements changes to maximize billing productivity; assists with establishing standards for work performance; ensures claims are billed timely and correctly to maximize reimbursements and increase cash flow. Confers with insurance representatives, internal and external agency staff and others on billing matters and answers questions that involve researching and abstracting technical data and detailed explanation of regulations, policies or procedures; refers matters that may require policy decisions to management. Confers with other departmental sections to assure timely and accurate flow of information necessary to patient account billing; reviews documents and system data for charge errors; participates on task forces and committees as assigned. Researches accounts; resolves or handles more difficult and complex billing problems, appeals, and complaints; troubleshoots system issues and recommends improvements. Trains staff in complex billing and collection procedures, policies and practices; orients new employees to billing and collections; researches and answers questions and applies billing and collection rules, regulations, and guidelines; updates staff to changes in policies, standards and regulations; disseminates information affecting other departments quickly and accurately. Prepares and audits claims, statements and reports from a variety of sources; performs technical clerical accounting work; monitors accounts and prepares reports. KNOWLEDGE Medical terminology, coding, procedure and diagnosis codes; completion of UB04 and CMS 1500 claims forms, government, managed care and third party payer billing, electronic claim submission systems and hospital patient accounting systems; accounts receivable methods and procedures; claim attachment specifications; regulatory and legal guidelines; appeals processes; principles of planning and organizing work; methods of researching, gathering, organizing and reporting data; personal computer systems and general office computer software; public relations techniques; advanced filing and record keeping systems; complex correspondence and report formats; arithmetical operations related to advanced clerical/technical/financial processes; basic principles of training and supervision; advanced cash handling procedures. ABILITY Research, interpret and apply complex laws/regulations relating to submission of hospital claims; evaluate and establish priorities; gather, organize, input and maintain account data; provide/obtain detailed information to/from others, even in difficult situations; develop, create and deliver educational projects to clerical and professional staff; utilize advanced office procedures and equipment; follow complex oral and written procedures and directions; establish and maintain effective working relationships with others; communicate effectively with others; write clearly and legibly; perform advanced arithmetical operations; supervise others. PHYSICAL/MENTAL REQUIREMENTS Mobility -Frequent operation of a data entry device, repetitive motion, sitting for long periods, walking; occasional standing, pushing, pulling, bending, squatting, climbing; Lifting -Frequently 5 pounds or less; occasionally 5 to 30 pounds; Visual -Constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Hearing/Talking -Frequent hearing of normal speech, hearing/talking on the telephone, talking in person; Emotional/Psychological -Frequent decision making, concentration, and public contact; Special Requirements -Some assignments may require working weekends, nights, and/or occasional overtime; Environmental -Occasional exposure to varied weather conditions. San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to Equal Employment Opportunity Division (sjgov.org) . Accommodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. BENEFITS Employees hired into this classification are members of a bargaining unit which is represented by SEIU Local 1021 . Health Insurance : San Joaquin County provides employees with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premium. Dependent coverage is also available. Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense. Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee’s expense. For more detailed information on the County’s benefits program, visit our website at www.sjgov.org under Human Resources/Employee Benefits. Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employee may purchase additional term life insurance at the group rate. 125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Law of 1937. Please visit the San Joaquin County Employees’ Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees’ Retirement Act of 1937 or from any governmental agency covered by the California Public Employees’ Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $22,500 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $30,000. The Roth IRA (after tax) is also now available. Vacation : Maximum earned vacation is 10 days each year up to 3 years; 15 days after 3 years; 20 days after 10 years; and 23 days after 20 years. Holidays : Effective July 1, 2017, all civil service status employees earn 14 paid holidays each year. Please see the appopriate MOU for details regarding holidays, accruals, use, and cashability of accrued time. Sick Leave : 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one- half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave : 3 days of paid leave for the death of qualifying family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child. Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range, they are eligible for a merit increase to the next step. Job Sharing : Employees may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program : Eligible employees may be reimbursed for career-related course work up to a maximum of $850 per fiscal year. Eligible employees enrolled in an approved four (4) year College or University academic program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year. Parking Supplemental Downtown Stockton: The County contributes up to $20 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities. Selection Procedures Applicants who meet the minimum qualifications will go through the following examination process: Written Exam : The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Oral Exam : The oral exam is a structured interview process that will assess the candidate’s education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate’s score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list. Rate-out: A rate-out is an examination that involves a paper rating of the candidate’s application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process. Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. Veteran’s Points : Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran’s points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination. Acceptable wartime service dates: September 16, 1940 to December 31, 1946 June 27, 1950 to January 31, 1955 August 5, 1964 to May 7, 1975 Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation. Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established. Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods. Rule of the Rank: The top rank or ranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine, or 10% of the eligible list, whichever is higher. When filling nine or more positions in a department at the same time, the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list, whichever is higher. This applies only to open competitive recruitments. Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination. Rule of the List: For classifications designated by the Director of Human Resources, the entire eligible list will be referred to the department. Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; They are related to the Appointing Authority or The employment would result in one of them supervising the work of the other. Department Head may establish additional limitations on the hiring of relatives by departmental rule. Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S. HOW TO APPLY Apply Online: www.sjgov.org/department/hr By mail or in person: San Joaquin County Human Resources 44 N. San Joaquin Street Suite 330 Stockton, CA 95202 Office hours: Monday - Friday 8:00 am to 5:00 pm; excluding holidays. Phone: (209) 468-3370 Job Line: For current employment opportunities please call our 24-hour job line at (209) 468-3377. When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. ( The County assumes no responsibility for mailed applications which are not received by the Human Resources Division) . San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees. Equal Opportunity Employer : San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Click on a link below to apply for this position: Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here . View and print the official application form as an Acrobat pdf file. A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in. Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email , or apply for a job in person at the San Joaquin County Human Resources Division. Closing Date/Time: Continuous
Apr 06, 2024
Full Time
Introduction Patient Financial Supervisor by Employment Services Team TYPICAL DUTIES Supervises, assigns, coordinates, and evaluates the work of clerical staff performing complex billing and/or collection processes; monitors work flow and implements changes to maximize billing productivity; assists with establishing standards for work performance; ensures claims are billed timely and correctly to maximize reimbursements and increase cash flow. Confers with insurance representatives, internal and external agency staff and others on billing matters and answers questions that involve researching and abstracting technical data and detailed explanation of regulations, policies or procedures; refers matters that may require policy decisions to management. Confers with other departmental sections to assure timely and accurate flow of information necessary to patient account billing; reviews documents and system data for charge errors; participates on task forces and committees as assigned. Researches accounts; resolves or handles more difficult and complex billing problems, appeals, and complaints; troubleshoots system issues and recommends improvements. Trains staff in complex billing and collection procedures, policies and practices; orients new employees to billing and collections; researches and answers questions and applies billing and collection rules, regulations, and guidelines; updates staff to changes in policies, standards and regulations; disseminates information affecting other departments quickly and accurately. Prepares and audits claims, statements and reports from a variety of sources; performs technical clerical accounting work; monitors accounts and prepares reports. KNOWLEDGE Medical terminology, coding, procedure and diagnosis codes; completion of UB04 and CMS 1500 claims forms, government, managed care and third party payer billing, electronic claim submission systems and hospital patient accounting systems; accounts receivable methods and procedures; claim attachment specifications; regulatory and legal guidelines; appeals processes; principles of planning and organizing work; methods of researching, gathering, organizing and reporting data; personal computer systems and general office computer software; public relations techniques; advanced filing and record keeping systems; complex correspondence and report formats; arithmetical operations related to advanced clerical/technical/financial processes; basic principles of training and supervision; advanced cash handling procedures. ABILITY Research, interpret and apply complex laws/regulations relating to submission of hospital claims; evaluate and establish priorities; gather, organize, input and maintain account data; provide/obtain detailed information to/from others, even in difficult situations; develop, create and deliver educational projects to clerical and professional staff; utilize advanced office procedures and equipment; follow complex oral and written procedures and directions; establish and maintain effective working relationships with others; communicate effectively with others; write clearly and legibly; perform advanced arithmetical operations; supervise others. PHYSICAL/MENTAL REQUIREMENTS Mobility -Frequent operation of a data entry device, repetitive motion, sitting for long periods, walking; occasional standing, pushing, pulling, bending, squatting, climbing; Lifting -Frequently 5 pounds or less; occasionally 5 to 30 pounds; Visual -Constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Hearing/Talking -Frequent hearing of normal speech, hearing/talking on the telephone, talking in person; Emotional/Psychological -Frequent decision making, concentration, and public contact; Special Requirements -Some assignments may require working weekends, nights, and/or occasional overtime; Environmental -Occasional exposure to varied weather conditions. San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to Equal Employment Opportunity Division (sjgov.org) . Accommodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. BENEFITS Employees hired into this classification are members of a bargaining unit which is represented by SEIU Local 1021 . Health Insurance : San Joaquin County provides employees with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premium. Dependent coverage is also available. Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense. Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee’s expense. For more detailed information on the County’s benefits program, visit our website at www.sjgov.org under Human Resources/Employee Benefits. Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employee may purchase additional term life insurance at the group rate. 125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Law of 1937. Please visit the San Joaquin County Employees’ Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees’ Retirement Act of 1937 or from any governmental agency covered by the California Public Employees’ Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $22,500 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $30,000. The Roth IRA (after tax) is also now available. Vacation : Maximum earned vacation is 10 days each year up to 3 years; 15 days after 3 years; 20 days after 10 years; and 23 days after 20 years. Holidays : Effective July 1, 2017, all civil service status employees earn 14 paid holidays each year. Please see the appopriate MOU for details regarding holidays, accruals, use, and cashability of accrued time. Sick Leave : 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one- half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave : 3 days of paid leave for the death of qualifying family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child. Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range, they are eligible for a merit increase to the next step. Job Sharing : Employees may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program : Eligible employees may be reimbursed for career-related course work up to a maximum of $850 per fiscal year. Eligible employees enrolled in an approved four (4) year College or University academic program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year. Parking Supplemental Downtown Stockton: The County contributes up to $20 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities. Selection Procedures Applicants who meet the minimum qualifications will go through the following examination process: Written Exam : The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Oral Exam : The oral exam is a structured interview process that will assess the candidate’s education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate’s score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list. Rate-out: A rate-out is an examination that involves a paper rating of the candidate’s application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process. Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. Veteran’s Points : Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran’s points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination. Acceptable wartime service dates: September 16, 1940 to December 31, 1946 June 27, 1950 to January 31, 1955 August 5, 1964 to May 7, 1975 Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation. Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established. Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods. Rule of the Rank: The top rank or ranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine, or 10% of the eligible list, whichever is higher. When filling nine or more positions in a department at the same time, the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list, whichever is higher. This applies only to open competitive recruitments. Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination. Rule of the List: For classifications designated by the Director of Human Resources, the entire eligible list will be referred to the department. Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; They are related to the Appointing Authority or The employment would result in one of them supervising the work of the other. Department Head may establish additional limitations on the hiring of relatives by departmental rule. Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S. HOW TO APPLY Apply Online: www.sjgov.org/department/hr By mail or in person: San Joaquin County Human Resources 44 N. San Joaquin Street Suite 330 Stockton, CA 95202 Office hours: Monday - Friday 8:00 am to 5:00 pm; excluding holidays. Phone: (209) 468-3370 Job Line: For current employment opportunities please call our 24-hour job line at (209) 468-3377. When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. ( The County assumes no responsibility for mailed applications which are not received by the Human Resources Division) . San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees. Equal Opportunity Employer : San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Click on a link below to apply for this position: Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here . View and print the official application form as an Acrobat pdf file. A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in. Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email , or apply for a job in person at the San Joaquin County Human Resources Division. Closing Date/Time: Continuous
California State University (CSU) Northridge
18111 Nordhoff Street, Northridge, CA 91330, USA
About The University Corporation: The University Corporation is a non-profit auxiliary corporation providing commercial and administrative services to California State University, Northridge. Our mission is to provide services and solutions that address the needs of California State University, Northridge; to support the academic, research, and creative endeavors of its students, faculty, and staff; and to enhance the quality of campus life. https://www.csun.edu/tuc Duties and Responsibilities: Post-Award Supervisor provides leadership and training of existing staff, new staff, and student assistants. Works closely with the Director on the creation, revision, and implementation of RSP-wide process improvement procedures, and may act as a liaison between pre- and post-award offices for planning, training, evaluation, and monitoring to meet goals and resolve problems. Provides expertise, support, and advice to other Post-Award Analysts, Administrative support staff and works collaboratively with Grants and Contracts Analysts to support research growth and development. Functions and makes decisions independently yet is highly collaborative and able to anticipate problems early and as they arise. Additionally, the Post-Award Supervisor must be able to assist department staff of any post-award administration responsibilities, including providing guidance, information and services to administrators, faculty, and staff engaged in management of extramurally funded research awards. The Post-Award Supervisor is independently responsible for representing the University to sponsors in the management and delivery of materials related to complex contracts and funding awards; coordinating with administration, academic departments, colleges, centers, and RSP pre-award staff; assisting and advising faculty, staff, and administrators in budget and expenditure management; independently interpreting and analyzing sponsor guidelines, completion of required forms, assurances and certifications, collection of necessary or pertinent data, compilation of and review of supporting documentation for consistency, and compliance with sponsor, government, and internal program guidelines and requirements; and monitor and ensure drawdowns and accounts receivables are collected and entered in a timely basis. (40%) Provide proactive and high-level customer service to Principal Investigators: Act as the initial escalation point for the Principal Investigator (PI) for all post-award issues. Instruct PIs on post-award administration issues and guide them through grant administration processes through the life cycle of their project, from setup to closeout. Independently investigate and use best judgment to resolve issues experienced by PIs, acting as a liaison between PI and TUC Payroll, Human Resources and Accounting staff. Coordinate with college and departmental staff, DFOs, and pre-award grants coordinators to ensure that departments follow compliance policies for grants management in maintaining and submitting proper documentation to substantiate direct charges to grants. Maintain current working knowledge of federal regulations and sponsor policies to assure the responsible administration of sponsored programs. Review and interpret contracts and grant awards. Facilitate internal quality assurance review and ensure timely submission of accurate expenditure requests and associated documentation in accordance with all applicable policies and procedures. (25%) Peer and support staff training and development: Onboard and train new Post-Award Analysts, RSP Administrative Assistants, and student assistants in post-award workflow and operations. Provide leadership, training, and technical support for faculty, CSUN staff, and RSP staff; provide ongoing support, mentorship, and retraining to RSP team members as needed. Provide expertise on matters relating to research and sponsored programs-based grants, contracts, and subcontracts. Prepare content for and lead various campus-wide events, workshops, and meetings. Develop and update a procedure manual and shared resource library for research administrators and PIs/PDs. (20%) Monitor and manage expenses for sponsored projects and programs: Counsel and make recommendations to PIs and project staff regarding the fiscal management of sponsored projects. Forecast possible future financial and administrative problems, develop solutions, and make recommendations to the PI. Monitor and review the expenditure, budget adjustment activities, and close outs associated with successful grants management. Approve budget adjustments and project related expenditures, with authority to approve expenditures up to $25,000 and to write off expenditures of up to $5,000 each against the Sponsored Programs Reserve in consultation with the Director. Work with external funding agencies to develop accurate invoices and follow-up on payments. Assure timely and appropriate close-out of grants/contracts through coordination with PIs, departmental administrative personnel, and Accounting. Monitor and ensure drawdowns and accounts receivables are collected and entered in a timely manner. (10%) Lead process improvement efforts and assist in maintaining compliance to avoid risks for TUC and CSUN: Continuously evaluate, streamline, and document RSP standard operating procedures; recommend and implement updated policies as needed or required by the University and CSU. Independently identify and contribute to resolving compliance issues related to award administration. Develop and implement process improvement initiatives related to workflow and documentation for the above-noted compliance areas. Provide updates, training, and process review of above subjects on a regular basis. Regularly review accounts to independently identify, judge, and address areas of potential risk. Contribute and assist to audits or agency inquiries regarding grant and contract activity, including annual audits conducted by external auditors. Provide expert assistance to the Directors of RSP. (5%) Other Responsibilities : Regularly review literature on research administration and attend special conferences, workshops and trainings to stay abreast of most recent federal, state and other sponsor requirements and management responsibilities. Represent CSUN within the sponsored research community and at professional organization meetings, including those held by federal and state funding agencies. Perform other duties as assigned. Qualifications: Bachelor's degree from an accredited college or university. Master’s degree preferred. At least four in research administration, budget management, fund administration, or contract review, with at least a year in post-award administration of grants and contracts in a university setting. One-year supervisory experience preferred. Knowledge, Specialized Skills, and Abilities: Broad working knowledge of Office of Management and Budget (OMB) Uniform Guidance (UG) and other federal agency guidelines, including Federal Acquisition Regulation. Strong understanding of generally accepted accounting principles, including knowledge of financial record-keeping methods, procedures, and practices. Ability to review financial documents for accuracy, completeness, validity, and adherence to standards. Experience with policy and procedure development. Ability to maintain a detail-oriented workload. Ability to work in a team environment and motivate team members by example. Excellent interpersonal skills and ability to effectively communicate at all levels is essential to optimize positive support to faculty while ensuring compliance. Service focused, including timely and patient response in project management and action-oriented approach to problem solving. Ability to maintain confidentiality, operate with integrity, and encourage trust. Familiarity and comfort with Cayuse SP, PeopleSoft, Adobe Sign and Adobe Acrobat Pro; thorough knowledge of Microsoft Office applications, including Word and Excel. Ability to use queries in Peoplesoft with ease. Comfort with navigating and retrieving information from the Internet. CRA and/or CFRA Certification preferred. Pay, Benefits, & Work Schedule: This position is employed through The University Corporation (TUC). Anticipated hiring range: $70,000 - $75,000 Annually Full pay range: $63,276- $114,444 Annually Time Base: Full-Time Benefits: Medical, Dental, Vision General Information: THE SELECTED CANDIDATE IS REQUIRED TO PASS A THOROUGH DEPARTMENT BACKGROUND INVESTIGATION AND LIVE SCAN. How to Apply: Please complete the online application/resume upload submission process in order to be considered for any open position within the university and its auxiliaries. The hiring department will contact the best-qualified candidates and invite them to participate in the interview process. Application Screening begins Tuesday, March 19th, and will continue until the position is filled. In order to be considered in the initial review, applications must be submitted prior to the date listed above. Application submissions received after the application screening date will be reviewed at the discretion of the University. For more detailed information on the application and hiring process, please view the link below: http://www-admn.csun.edu/ohrs/employment/ Equal Employment Opportunity The University Corporation is an Equal Opportunity Employer and prohibits discrimination on the basis of race, color, ethnicity, religion, national origin, age, gender, gender identity/expression, sexual orientation, genetic information, medical condition, marital status, veteran status, and disability. Applicants who wish to request an accommodation for a disability may contact the Office of Equity and Diversity at (818) 677-2077. Advertised: Mar 04 2024 Pacific Standard Time Applications close: Closing Date/Time:
Mar 07, 2024
About The University Corporation: The University Corporation is a non-profit auxiliary corporation providing commercial and administrative services to California State University, Northridge. Our mission is to provide services and solutions that address the needs of California State University, Northridge; to support the academic, research, and creative endeavors of its students, faculty, and staff; and to enhance the quality of campus life. https://www.csun.edu/tuc Duties and Responsibilities: Post-Award Supervisor provides leadership and training of existing staff, new staff, and student assistants. Works closely with the Director on the creation, revision, and implementation of RSP-wide process improvement procedures, and may act as a liaison between pre- and post-award offices for planning, training, evaluation, and monitoring to meet goals and resolve problems. Provides expertise, support, and advice to other Post-Award Analysts, Administrative support staff and works collaboratively with Grants and Contracts Analysts to support research growth and development. Functions and makes decisions independently yet is highly collaborative and able to anticipate problems early and as they arise. Additionally, the Post-Award Supervisor must be able to assist department staff of any post-award administration responsibilities, including providing guidance, information and services to administrators, faculty, and staff engaged in management of extramurally funded research awards. The Post-Award Supervisor is independently responsible for representing the University to sponsors in the management and delivery of materials related to complex contracts and funding awards; coordinating with administration, academic departments, colleges, centers, and RSP pre-award staff; assisting and advising faculty, staff, and administrators in budget and expenditure management; independently interpreting and analyzing sponsor guidelines, completion of required forms, assurances and certifications, collection of necessary or pertinent data, compilation of and review of supporting documentation for consistency, and compliance with sponsor, government, and internal program guidelines and requirements; and monitor and ensure drawdowns and accounts receivables are collected and entered in a timely basis. (40%) Provide proactive and high-level customer service to Principal Investigators: Act as the initial escalation point for the Principal Investigator (PI) for all post-award issues. Instruct PIs on post-award administration issues and guide them through grant administration processes through the life cycle of their project, from setup to closeout. Independently investigate and use best judgment to resolve issues experienced by PIs, acting as a liaison between PI and TUC Payroll, Human Resources and Accounting staff. Coordinate with college and departmental staff, DFOs, and pre-award grants coordinators to ensure that departments follow compliance policies for grants management in maintaining and submitting proper documentation to substantiate direct charges to grants. Maintain current working knowledge of federal regulations and sponsor policies to assure the responsible administration of sponsored programs. Review and interpret contracts and grant awards. Facilitate internal quality assurance review and ensure timely submission of accurate expenditure requests and associated documentation in accordance with all applicable policies and procedures. (25%) Peer and support staff training and development: Onboard and train new Post-Award Analysts, RSP Administrative Assistants, and student assistants in post-award workflow and operations. Provide leadership, training, and technical support for faculty, CSUN staff, and RSP staff; provide ongoing support, mentorship, and retraining to RSP team members as needed. Provide expertise on matters relating to research and sponsored programs-based grants, contracts, and subcontracts. Prepare content for and lead various campus-wide events, workshops, and meetings. Develop and update a procedure manual and shared resource library for research administrators and PIs/PDs. (20%) Monitor and manage expenses for sponsored projects and programs: Counsel and make recommendations to PIs and project staff regarding the fiscal management of sponsored projects. Forecast possible future financial and administrative problems, develop solutions, and make recommendations to the PI. Monitor and review the expenditure, budget adjustment activities, and close outs associated with successful grants management. Approve budget adjustments and project related expenditures, with authority to approve expenditures up to $25,000 and to write off expenditures of up to $5,000 each against the Sponsored Programs Reserve in consultation with the Director. Work with external funding agencies to develop accurate invoices and follow-up on payments. Assure timely and appropriate close-out of grants/contracts through coordination with PIs, departmental administrative personnel, and Accounting. Monitor and ensure drawdowns and accounts receivables are collected and entered in a timely manner. (10%) Lead process improvement efforts and assist in maintaining compliance to avoid risks for TUC and CSUN: Continuously evaluate, streamline, and document RSP standard operating procedures; recommend and implement updated policies as needed or required by the University and CSU. Independently identify and contribute to resolving compliance issues related to award administration. Develop and implement process improvement initiatives related to workflow and documentation for the above-noted compliance areas. Provide updates, training, and process review of above subjects on a regular basis. Regularly review accounts to independently identify, judge, and address areas of potential risk. Contribute and assist to audits or agency inquiries regarding grant and contract activity, including annual audits conducted by external auditors. Provide expert assistance to the Directors of RSP. (5%) Other Responsibilities : Regularly review literature on research administration and attend special conferences, workshops and trainings to stay abreast of most recent federal, state and other sponsor requirements and management responsibilities. Represent CSUN within the sponsored research community and at professional organization meetings, including those held by federal and state funding agencies. Perform other duties as assigned. Qualifications: Bachelor's degree from an accredited college or university. Master’s degree preferred. At least four in research administration, budget management, fund administration, or contract review, with at least a year in post-award administration of grants and contracts in a university setting. One-year supervisory experience preferred. Knowledge, Specialized Skills, and Abilities: Broad working knowledge of Office of Management and Budget (OMB) Uniform Guidance (UG) and other federal agency guidelines, including Federal Acquisition Regulation. Strong understanding of generally accepted accounting principles, including knowledge of financial record-keeping methods, procedures, and practices. Ability to review financial documents for accuracy, completeness, validity, and adherence to standards. Experience with policy and procedure development. Ability to maintain a detail-oriented workload. Ability to work in a team environment and motivate team members by example. Excellent interpersonal skills and ability to effectively communicate at all levels is essential to optimize positive support to faculty while ensuring compliance. Service focused, including timely and patient response in project management and action-oriented approach to problem solving. Ability to maintain confidentiality, operate with integrity, and encourage trust. Familiarity and comfort with Cayuse SP, PeopleSoft, Adobe Sign and Adobe Acrobat Pro; thorough knowledge of Microsoft Office applications, including Word and Excel. Ability to use queries in Peoplesoft with ease. Comfort with navigating and retrieving information from the Internet. CRA and/or CFRA Certification preferred. Pay, Benefits, & Work Schedule: This position is employed through The University Corporation (TUC). Anticipated hiring range: $70,000 - $75,000 Annually Full pay range: $63,276- $114,444 Annually Time Base: Full-Time Benefits: Medical, Dental, Vision General Information: THE SELECTED CANDIDATE IS REQUIRED TO PASS A THOROUGH DEPARTMENT BACKGROUND INVESTIGATION AND LIVE SCAN. How to Apply: Please complete the online application/resume upload submission process in order to be considered for any open position within the university and its auxiliaries. The hiring department will contact the best-qualified candidates and invite them to participate in the interview process. Application Screening begins Tuesday, March 19th, and will continue until the position is filled. In order to be considered in the initial review, applications must be submitted prior to the date listed above. Application submissions received after the application screening date will be reviewed at the discretion of the University. For more detailed information on the application and hiring process, please view the link below: http://www-admn.csun.edu/ohrs/employment/ Equal Employment Opportunity The University Corporation is an Equal Opportunity Employer and prohibits discrimination on the basis of race, color, ethnicity, religion, national origin, age, gender, gender identity/expression, sexual orientation, genetic information, medical condition, marital status, veteran status, and disability. Applicants who wish to request an accommodation for a disability may contact the Office of Equity and Diversity at (818) 677-2077. Advertised: Mar 04 2024 Pacific Standard Time Applications close: Closing Date/Time:
CALAVERAS COUNTY, CA
San Andreas, California, United States
Position Description Medical Billing Specialist I: $19.95 - $24.27 Medical Billing Specialist II: $22.96 - $27.92 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Extra-Hire: Extra-hire employees are not eligible for step advances, vacation, seniority rights, holiday pay or other certain employee benefits. They are entitled to 24 hours of sick leave per year and eligilbe for the county's CORE Medical plan but not eligible for dental or vision insurance. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous
Mar 08, 2024
Full Time
Position Description Medical Billing Specialist I: $19.95 - $24.27 Medical Billing Specialist II: $22.96 - $27.92 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Extra-Hire: Extra-hire employees are not eligible for step advances, vacation, seniority rights, holiday pay or other certain employee benefits. They are entitled to 24 hours of sick leave per year and eligilbe for the county's CORE Medical plan but not eligible for dental or vision insurance. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous