Financial Specialist III - Revenue Management

Supports revenue and reimbursement billing, collections, tracking of all payers for CSB services for Revenue Management Team. Supports revenue and reimbursement billing, collections, tracking and reporting over $30 million in client and third-party fee revenues for the community service board.

Under the general direction of the Revenue Cycle Manager, this position supervises a team of professional staff on the fiscal team for the Fairfax-Falls Church Community Services Board (CSB). This role involves performing and overseeing various financial functions, including data analysis, monthly revenue metrics presentations, and reconciliations. Key responsibilities include developing reports, monitoring trends, analyzing data to assist CSB's revenue cycle manager in data driven decision making and strategic planning. Supports day-to-day billing operations and the self-pay collection related activities to ensure that all the information provided for billing is accurate and timely. Identifies areas to improve the revenue cycle, such as evaluating patients facing claims and medical billing functions to enhance revenue for each category. Assists in developing and communicating billing policies and procedures to ensure the timely filing of medical claims and to meet clean claim targets. Provides oversight into insurance payment receipts to include banking and cash posting. Focuses on insurance denial processes and oversees the appeal process as appropriate to avoid delays in revenue collections and to maximize revenue generation. Assists revenue cycle manager in managing accounts receivables, monitors adjustments and assesses write-off processes. Identifies and resolves operational and system issues and troubleshoots effectively. Maintains revenue management dashboard with defined key performance indicator metrics. Keeps abreast of current knowledge of changes in compliance standards, payer policies and state/federal regulations concerning coding, billing, and reimbursement processes. Supports the coordination effort for responses to inquiries from internal auditors regarding billing and collection practices as well as revenue reconciliation.

To find out about the benefits of working with Fairfax County Government, please visit the CSB Careers Page.

Note: To learn more about careers that make a difference, watch our video "CSB Celebrates 50th Anniversary of Providing Care."

(The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position job description.)

Participates in the formulation and documentation of agency fiscal policies and procedures;
Maintains numerous fund/subfund accounts;
Reviews long range revenue and expenditures estimates to ensure availability of funds;
Prepares and/or oversees the preparation of large agency budget;
Applies budget, procurement, and payment procedures in accordance with established county policies, accounting principles (GAAP and GASB), and local and state policies and procedures;
Researches budget, finance and procurement requirements, analyzes impact on current operations and recommends means of implementation.

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all-inclusive list.)

Considerable knowledge of the principles, methods, and practices of governmental budgeting and fiscal management and the ability to apply them to complex governmental systems;
Considerable knowledge of federal, state and county policies, procedures, regulations and legislation impacting the maintenance of financial records;
Ability to effectively supervise and coordinate the activities of staff;
Ability to develop and implement fiscal policies and procedures.

MINIMUM QUALIFICATIONS:
Any combination of education, experience, and training equivalent to the following: (Click on the aforementioned link to learn how Fairfax County interprets equivalencies for "Any combination, experience, and training equivalent to")
Graduation from an accredited four-year college or university with either a bachelor's degree in accounting, business administration, public administration, public policy or related field; plus, three years of professional-level experience in finance, business administration, budgeting, or contract management, a master's degree in a related field or CPA may substitute for 1 year of experience.

NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, and sanction screening to the satisfaction of the employer. A TB screening upon hire.

Certain positions with financial responsibility within this class may be subject to criminal background checks and/or credit checks as a condition of employment and periodically thereafter, as determined by the department head. An applicant or an employee may be required to submit a request for a criminal history record check and/or credit check to the appropriate agency; Applicants and employees within these positions must demonstrate financial responsibility in personal finances as a condition of employment.

PREFERRED QUALIFICATIONS:

• Master's degree in finance, business administration, health care administration or related field.
• Five or more years overseeing and managing large complex reports.
• Experience utilizing electronic health records.
• Experience to develop and present complex financial reports and analysis, including detailed projections and financial scenarios relative to denial and forecasting and preparation and annual budget monitoring.
• Experience working with SAP or a similar automated accounting system.
• Five or more years of experience of mental health billing and follow-up.
• Five or more years of supervisor experience.
• Five or more years serving as revenue cycle manager for a behavioral health agency.
• Five or more years working in a managed care environment in the Commonwealth of Virginia.
• Five or more years' experience working within an electronic medical record system.
• Knowledge, skills, and abilities: Ability to develop and present complex financial reports and analysis, including detailed projections and financial scenarios relative to denial and forecasting and preparation and annual budget monitoring. Demonstrate initiative and knowledge to research, understand, and resolve complex payer denial issues. Strong written and oral communication skills, with an ability to prepare and present reports for decision-making. Demonstrated ability to work with limited supervision, set priorities, and multi-task. Extensive knowledge of the principles, methods, and practices of governmental financial management. Advance knowledge of Excel, Word, and PowerPoint.