California Veterans Health Initiative
U.S.VETS · Tustin, CA · 3 wk ago
HealthcareFull-time
Responsibilities
- Ensures compliance with established funding agreements while monitoring the fiscal operations of the CVHI grant including budgeting, financial reporting, and reconciliations.
- Coincides with the managed care billing process, including managing local relationships with third-party insurance and ensuring that services provided comply with contractual and reimbursement policies.
- Maintains and monitors all financial records to ensure accuracy, completeness of data, and compliance with state and federal rules and regulations.
- Establishes and monitors policies and procedures pertaining to grant operations, risk management, and business continuity in the California Department of Veterans Affairs.
- Ensures policies and procedures are aligned with current grant and any applicable accreditation standards.
- Collaborates with staff around tracking financials, trends, and reporting, etc.
- Manages administrative staff to ensure all organizational standards are being followed.
Qualifications
- Bachelor’s degree from accredited college or university with at least 5 years of relevant experience.
- At least 5 years of experience working with third-party payers, coding, billing, posting, and adjudication of claims.
- At least 3 years of experience collecting, analyzing, and reporting financial data.
- Demonstrated knowledge about the appropriate and effective use of protected health information, the Health Insurance Portability and Accountability Act of 1996 and the Health Information Technology for Economic and Clinical Health Act.
- Excellent customer service.
- Must be able to work independently, as part of a team, anticipate problems, generate solutions, and demonstrate flexibility and sensitivity when engaging with staff and clients.
- Excellent written and oral communication skills; ability to digest and distill complex subjects into clear messages.
- Experience working with military populations and/or veterans is strongly preferred.
- Valid driver’s license required and must be able to meet company insurance standards for drivers if applicable.
Benefits
- Paid Vacation
- Sick Time
- Paid Holidays
- Medical
- Dental
- Vision
- Company matching 401K