Job description
Fiscal Specialist
Division: Administration
Department: Fiscal Services
Supervised By: Director of Fiscal Services
FLSA Status: Exempt/Regular/Full-time
Effective Date: July 2023
Position Summary
The Specialist is responsible for multiple Fiscal functions, able to work in a high-energy, fast-paced environment, adapt to change and maintain a positive attitude. Responsibilities include revenue cycle process evaluation, financial reporting responsibilities related to Accounts Payable, Accounts Receivable, and Payroll. The Specialist must be able to initiate troubleshooting inefficiencies, perform research, and make recommendations for improvement to implement change.
Essential Duties/Responsibilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Analyze, identify, and resolve problems pertaining to EOB’s, billing errors and outstanding reports. Medical Billing experience.
- Define new methods and services to enhance the quality of internal processes in order to reduce departmental errors.
- Assess and resolve client credit-balance statements, payment arrangements, and charge off accounts.
- Process all commercial insurance payment applications, including Medicare, Medicaid, and third-party payment applications. Knowledge of electronic medical billing and electronic payment application.
- Create, maintain, and enhance Fiscal responsibilities for the electronic medical record system (EMR).
- Review and interpret operational data to assess need for procedural revisions and enhancements; participate in the design and implementation of specific systems to enhance revenue and operating efficiency.
- Maintain a working knowledge of all health information regulations such as HIPAA.
- Participate in training activities to improve job knowledge and skills as assigned or approved.
- Regularly provide revenue cycle status including reports, metrics, and presentations. Develop, monitor, and assess business metrics in order to refine processes and improve efficiencies. Establish internal goals and identify internal benchmarks.
- Monitor all bulletins and updates from Medicare, Medicaid and other third-party payers. Notify appropriate staff of changes or additions. Coordinate efforts with Clinical Team to provide updates of policies and procedures to all necessary staff.
- Coordinate deposits, to assure that internal controls are adhered to by the various offices in Fiscal Services for funds of the organization. Provide guidance, update forms, and relay procedures to all locations assisting them in properly depositing funds.
- Summarize grant and donation cash receipts by utilizing an Excel spreadsheet to assist in monitoring of funding sources.
- Serve as a mentor to the clerical staff members, provide backup support in their absence, and aid in establishing new processes.
- Develop, analyze, calculate, and prepare the appropriate documentation to journal entry allocations, adjustments, and corrections into the Accounting Software.
- Compile information from the Electronic Medical Records system, the daily cash receipts, the bank, and the accounting system to reconcile various balance sheet accounts (payroll liabilities, prepaid accounts, etc.) and income statement accounts to the general ledger account balance.
- Organize bi-annual physical inventory of all HCI fixed assets subject to audit by planning timeframes for inventory, disseminating information to the locations, selecting random locations for audit, and compiling information to safeguard assets.
- Ensure all mandatory reporting is completed timely, including but not limited to IRS reporting, state of Indiana reporting, and any grant or contract financial reporting.
- Perform other duties as assigned.
Minimum Qualifications/Requirements
- An Associate’s degree in accounting with four years or more of accounting experience is required. Bachelor of Science in accounting with a minimum of two years of accounting experience is preferred.
- Knowledge, experience, and skills in basic fiscal functions important for this position.
- The position requires reading and good written and verbal communication skills for interaction with vendors and center staff.
- Use of decimals and percentages and other basic math skills are necessary.
- Basic computer knowledge, Microsoft software, and typing or keyboarding is required.
- Visual skills to perform typing and data entry are necessary.
- Willingness to use personal transportation in work capacity.
Certificates, Licenses, Registrations
- Valid driver’s license in accordance with HCI motor vehicle policy.
Physical Demands
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Most of the work is performed at a desk with 50 to 60 percent of work time at a computer terminal. The work area is often noisy due to the number of varied departments in the same office space. The work is cyclical in nature resulting in high pressure times at month and year end.
Work Environment
Much of the work is performed at a desk. The work is often disruptive since a heavy traffic flow results from the number of departments located in the same general area.
Conditions of Employment
- Completion of tuberculin screening no later than three days prior to first day of employment and annually thereafter
- Completion of MMR, Varicella, influenza, and coronavirus vaccine
- Completion of a pre-employment drug screening and completion of post-employment drug or alcohol tests upon reasonable suspicion of use.
- Completion of Center-wide orientation and ALL required paperwork prior to reporting for work
- Demonstrated computer literacy through successful completion of pre-employment testing may be required.
- Completion of Hamilton Center Quality Training, Trauma Informed Care and current learning platform
- Successful completion of New Employee Department Checklist within 90 days of employment
- Attendance at all mandatory staff development and training
- Successful completion of a six-month on-the-job orientation period
- Successful completion of Annual PES (Performance Evaluation System)
- Adherence to all policies, procedures, rules, and regulations set forth by Hamilton Center, Inc.
- Participation in payroll electronic deposit
- Adherence to Compliance Program Plan
- Satisfactory reference and background investigation checks.
Job descriptions are not intended, and should not be construed, to be exhaustive lists of all responsibilities, skills, efforts or working conditions associated with a job. They are meant to be accurate reflections of the principal job elements essential for making fair pay decisions about jobs.
Job Type: Full-time
Salary: $55,000.00 - $57,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Tuition reimbursement
- Vision insurance
Physical setting:
Schedule:
Ability to commute/relocate:
- Terre Haute, IN 47804: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Bookkeeping: 1 year (Preferred)
Work Location: In person