Cash Collection Manager​/Administrator V - CFO Office

This position is open to current Colorado residents only.

The Revenue Cycle Management team supports all OCFMH facilities — including the Colorado Mental Health Hospital at Pueblo (CMHHP), the Colorado Mental Health Hospital at Fort Logan (CMHHFL), the Forensics Division, Mental Health Transitional Living programs (MHTLs), and the outpatient clinic. The team is organized into three functional lanes, each led by a Supervisor reporting to the Financial Services Manager. An independent Auditor also reports directly to the Manager across all lanes.

Policy requirements from the Revenue Cycle Management Policies and Procedures (v1.0) are integrated into each role below.

Minimum 2 days In Office and Maximum 3 days Remote Work.

This position will comply with the CFO's Office's current working arrangements.

Please note:

Work arrangements are subject to change at any time.

The Back-End A/R and Collections Supervisor is responsible for converting booked revenue into collected cash and ensuring that uncollectible accounts are identified, documented, and written off appropriately across all OCFMH facilities.

• Responsible for including payer-specific insurance follow-up, payment posting reconciliation, secondary payer billing, denial appeals, aging management, bad debt write-off documentation, outside medical financial liability determination and payment voucher audit, and Medicare Bad Debt documentation for the annual Cost Report. Lane 3 is also the source of documentation that Lane 2 uses to prepare cash receipt and bad debt journal entries — payment posting totals and approved bad debt packages must be delivered to Lane 2 on a defined monthly schedule.
• Maintains aging reports with a full breakdown by: individual patient account, payer/guarantor (including ATP), dollar value, granular dates of service delivery per claim, date of claims submission, and mean age of claim.
• Owns the monthly payer reconciliation — for each payer, reconcile total revenue booked against total cash collected, adjustments taken, and outstanding A/R; identify unexplained variances.
• Provides finalized Medicare Bad Debt statistics and supporting documentation to the Financial Services Manager on the defined Cost Report schedule — the Manager owns Cost Report preparation and submission;
  Lane 3 owns the underlying account documentation.
• Prepares complete bad debt write-off packages for Manager approval — include ATP documentation, collection effort log, account aging detail, and original booked revenue amount; no CORE entry is made without Manager sign-off.
• Ensures all denied claims are worked and appealed, where applicable, no later than 30 days after submission of the denial.
• Tracks denial appeal submission time (mean, median, mode) quarterly for reporting to the Manager and CFO.

• Supervises three (3) billing technicians (to be created), which includes scheduling and delegating work; approve time off; handle performance issues; train employees; prepare performance plans and ratings; recommend need for progressive discipline; interview applicants, and recommend choice for hire, promotion, or transfer.
• Monitors staff accuracy and proficiency in the processing of Medicare and Medicaid claims, outside medical payments, and general office duties; documents problem areas, provide further training or counseling if performance does not improve.
• Researches and interprets regulations to answer questions and concerns regarding the duties of the billing technicians.

• Reviews and approves financial liability for medical charges when OCFMH patients are admitted to outside acute hospitals — determines the…