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General Statement of Duties: 

An exempt, salaried position that is responsible for implementation and oversight of all aspects of financial analysis, reporting. This position will also identify and evaluate opportunities for new revenue sources and identifying lost revenue through analysis of revenue metrics, strategic partnerships and development; develop and implement operational systems, policies, procedures and metrics that will support and enhance maximizing productivity and revenue in health center operations and ensure compliance with federal and state regulatory requirements and agency standards. 

Supervision Received: Reports to the Chief Financial Officer.

Supervision Exercised: Directly supervises and manages Patient Accounts Manager.

Essential Functions: 

1. Responsible for producing agency financial reports, including monthly financial reporting, budget to actual comparisons, and any other financial reports as needed. 

• Acts as the internal subject matter expert of the Accounting/Financial reporting systems.
• Produces monthly reports, distributes to executive, senior leadership, and leadership team in a timely manner, and provides support to these teams on reviewing, understanding, and utilizing financial information to make data informed decisions. 
• Works with operations and marketing and development teams to complete ad hoc reporting requests for state contracts and grant submissions.

2. Participates in external financial reporting obligations

• Agency lead for cost reporting for all service lines of the business where this is required.
• Supports CFO in all external relationships and regulatory functions, communications, registrations, etc, pertaining to finances including Indirect Cost Proposals, Colorado Secretary of State reporting, and HCPF Base Wage Attestations.
• Assists in audit and 990 preparation and participates in site visit and compliance requests as needed. 

3. Oversees revenue cycle maximization

• Maintains and communicates current working knowledge of the revenue cycle in every service line and payer including FQHC regulations, Medicare, Medicaid, private payor, and private insurance billing requirements. 
• Responsible for entirety of payer contracting cycle including negotiating with payers, maintenance and updates of current contracts, initiating and creating new contracts as needed, and ensuring all service reimbursement is contractually allowable. 
• In conjunction with the Data Analyst and Clinical teams, leads activities and revenue maximization in pay for performance models, and assesses and leads work with accountable care organizations. 
• Analyzes accounts receivable data, extracts information into meaningful presentations and communicates the results, as well as identify problem sources and develops a plan of action for continuous improvement. Assist in preparing contracts with third party payers and ensure the Agency is billing in correlation to contracts and receiving appropriate payment 
• Analyzes collections to ensure accurate calculation of allowances across payors and service lines. 
• Remains current on trends in revenue cycle activities and ensure compliance with regulatory requirements and changes that may impact financial viability. 
• Leads an annual fee schedule update and develops fees in collaboration with CFO. Ensures that fee schedule is current with reimbursement trends. 

4.Participates and supports efforts of CFO in project management and change management from the financial team perspective. 

• Leads systems transitions in relation to the Casey’s Pond merger and reduction of contract services
• Supports financial analysis of Agency projects and provides support for internal requests for financial analysis
• Works as a partner to the accounting, billing, and HR teams to enhance support of projects, policy, and protocol changes. 
• Leads financial systems changes and assists in cross functional projects
• Participates with IT/IS projects as a financial representative and subject matter expert.

Education: Bachelor’s degree in Accounting, Finance or Business Management required. 

 Experience: Three to five years’ experience in the management and administration of billing in an outpatient physician practice or hospital outpatient department. Prior supervisory and staff development experience required. Must have advanced knowledge in Excel and other MS Office products. Experience with MIP Fund Accounting, eCW, MatrixCare and Point Click Care a plus. 

 Requirements: 

1. If car is used, must provide proof of adequate insurance coverage totaling at least $300,000 and valid Colorado driver’s license. 
2. Current immunization history, after job offer and before starting job. 
3. TB Test upon hire.

Skills:

1. Supervisory skills. 
2. General office skills. 
3. Report creation and analysis of data systems. 

Knowledge: 

1. Knowledge of accounting and billing practices. 
2. Thorough understanding of health care environment. 
3. Knowledgeable and skilled in information systems, software and hardware management.  Systems development, implementation, and maintenance. 

Abilities: 

1. Must be able to coordinate team to meet agency financial and reporting needs. 
2. Ability to develop and implement long range plans, business plans, ROIs, and facilitate day-to-day operations. 
3. Provides a positive approach to discerning opportunities for improvement or change, taking advantage of the situations, and functioning as a change agent. 
4. Ability to read, analyze and interpret general business periodicals journals, technical procedures, or governmental regulations. 
5. Ability to write reports and business correspondence. 
6. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. 

 Equipment: 

1.    Daily use of telephone, copier, and other office equipment. 

Working Conditions: 

1. Position is in a well-lighted, accessible office environment, and involves sitting approximately 90% of the day, walking or standing the remainder. 
2. This position meets the criteria for Category 3 of OSHA's guidelines for exposure to    biohazards. 

General Statement of Duties:
This description is intended to describe the essential job functions and the essential requirements for the performance of this job.  It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.

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