Overview of Position
- Act as Fiscal Agent and interface with the Wyoming State Auditor’s Office (SAO).
- Oversee Third party Liability (TPL) staff, perform functions related to cost avoidance, Medicaid subrogation pay and chase activities, TPL eligibility and other coordination of benefits activities.
- Ensure compliance with SAO, HIPAA standards for the payment file generation format.
- Ensure the SAO payment file is generated and sent for payment to the State Auditor’s Office in the designated format required by the SAO.
- Work with the interface file, the Wyoming Online Financial System (WOLFS) and maintain a complete electronic file of all records, documents, communications and other written materials that pertain to the systems and services delivered.
- Accounting for all checks in the Change Healthcare accounting systems for both rebate and third party liability (TPL) payments.
- Creating, validating, and mailing invoices to insurance companies as part of the TPL processes.
- Reviewing all weekly, monthly, and quarterly fiscal reports for accuracy and on-time delivery of reports to State of Wyoming.
- Managing pharmacy payment data and schedule.
- Trouble shooting all fiscal processes.
- Supervising fiscal employees.
- Assisting with development, testing, and validation of updates and fixes to the fiscal applications.
- Processing EOB letters.
- Acting as subject matter expert for fiscal processes.
- Responsible for meeting all fiscal service level agreements for the State of Wyoming.
- Other duties as assigned.
What will be my duties and responsibilities in this job?
- Knowledge of billing/collections experience, preferably within a healthcare environment
- Experience with Microsoft Office software with an emphasis on Microsoft Word and Excel
- Ability to meet position metrics goals (OKR’s)
What are the requirements needed for this position?
- Required: Bachelor of Science (BS) degree in Accounting, Finance, or Business and/or equivalent work experience.
- Required: 2+ years of experience in accounting, accounts receivables, medical billing, and/or fiscal review.
- Highly preferred: Prior experience with Medicare and Medicaid
- Understanding of HIPAA requirements
- Customer Service
- Organized
- Detail Oriented
- Ability to multi-task
- Work well with others
- Computer literate
What are the working conditions and physical requirements of this job?
- In office position – Physical requirements include general office demands
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [email protected] with “Applicant requesting reasonable accommodation” as the subject. Resumes or CVs submitted to this email box will not be accepted.
Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Source: Indeed.com
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