Fiscal Analyst 3 (FA3​/FSD) - Internal

Fiscal Analyst 3 (FA3/FSD) - Internal

This opportunity is internal and available to current HCA employees only.

This fiscal analyst works in a specialty unit to perform fiscal tasks using the Provider One Medicaid Management Information System. This position manages a high volume of tasks including daily deposits, gross adjustments, claims adjustments, and communicates with insurance companies and providers to process refunding or posting of money to claims. The successful candidate will be highly detail oriented and thorough in helping to ensure Medicaid dollars are allotted where they should be.

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.

About the division:

The Financial Services Division (FSD), in collaboration with other Health Care Authority (HCA) divisions and a variety of external stakeholders and legislative partners, provides strategic financial expertise for Apple Health, Community Behavioral Health (CBH), Public Employees Benefits Board (PEBB), and School Employees Benefits Board (SEBB) programs. In addition, FSD oversees the budget and compliance functions necessary to manage and monitor the single largest Washington State individual operating budget.

Functions include budget management, accounting, forecasting, professional and hospital rate setting, financial analysis, and payment/collection operations.

About the position:

This position reports to the Provider One (P1) Accounting Unit supervisor. The position is the specialist in the coordination and accounting of the agency's cash receipts related to claims processed through the comprehensive P1 system in accordance with Generally Accepted Accounting Principles, statutes, or regulations, which includes tracking, applying, and reconciling receipts for provider and insurance obligations which help to offset the cost of the Medicaid claims program.

The position directly supports the agency mission by guaranteeing sums owed to the state under the federal Medicaid program are properly received, posted, and reconciled.

This position is eligible to telework but is required to report on-site once per month for a unit meeting to meet business need.

The default assigned work location of all Health Care Authority (HCA) positions - both on-site and telework eligible positions - is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location.

Some of what you will do:

* Independently plan, coordinate, and conduct reviews of, and apply cash receipts to, the original claim.

* Communicate with providers, insurance companies, and HCA program management and staff regarding disputes on third-party liability (TPL) adjustments, gross adjustments, and claim adjustments.

* Process TPL, gross adjustments, and claim adjustments in P1.

* Research validity and compliance with Medicaid Services (CMS), communicate with providers and insurance companies, and maintain daily deposits.

* Analyze discrepancies in source documents, work with providers, insurance companies, and/or program staff to resolve them, then post cash receipt to claim in P1.

* Prepare, balance, and record daily bank lockbox receipts.

* Batch and process the agency A-8 through Accounting Database, reflecting accurate funding sources, and submit the A-8 to the Office of the State Treasurer through the Treasury Management System (TM$).

* Monitor all cash receipt notifications received through the HCA Cash Management mailbox or TM$ online reports.

* Communicate to staff for checks that cannot be processed.

* Post A-8 TM$ entries for cash receipts as requested for the Agency Financial Reporting System (AFRS) daily warrants, Medicaid checks, PEBB/SEBB, ACH and wires on the TM$ daily reports.

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

* Four years of relevant professional…