Cash Collection Manager/Administrator V - CFO Office

State of Colorado; Pueblo County (CO); Hybrid; USD 70,000 - 110,000; Full time

Benefits offered by this job

Remote work arrangements for eligible?

PERA retirement benefits

Medical and dental plans

Paid holidays and leave

Employee wellness programs

Job summary

The Colorado Department of Human Services is seeking a Back-End A/R and Collections Supervisor to convert booked revenue to cash and manage uncollectible accounts across CDHS facilities. The role oversees three billing technicians, ensures timely denial appeals, and maintains payer reconciliations and aging reports.

Strong knowledge of Medicare/Medicaid rules and state regulations is essential. Experience in accounting or healthcare, plus familiarity with Avatar and CORE, is preferred.

Qualifications

• Eight (8) years of relevant experience in an occupation related to the work assigned to this position.
• A combination of related education and/or relevant experience in Accounting or Healthcare equal to eight (8) years.
• Preferred qualifications include: Previous State Experience, Patient Billing and cash collections, Medicare/Medicaid rules, Colorado Revised Statutes, SSA rules, Avatar and CORE usage, and supervision.

Responsibilities

• Owns the monthly payer reconciliation for each payer, reconciling revenue booked against cash collected and outstanding A/R.
• Maintains aging reports with detailed breakdowns and supports denial appeals processes.
• Provides Medicare Bad Debt statistics and documentation for Cost Report schedules; prepares bad debt write-off packages for Manager approval.
• Supervises three billing technicians, manages scheduling, performance, and training; ensures accuracy in Medicare/ Medicaid claims processing.
• Ensures compliance with timelines for denial appeals (within 30 days) and related documentation.

Skills

Medicare/Medicaid billing

Supervisory experience

Communication with patients

Microsoft Access/Word/Excel

Regulatory interpretation

Education

8 years combined education/experience in Accounting or Healthcare

Tools

Avatar

CORE

Job description

Department Information
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.

Description of Job

Weekly Hybrid Working Arrangements

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.

Other Duties Include

• 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.

Supervisor Of Billing Team

• 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.

Outside Medical Liability

• Reviews and approves financial liability for medical charges when OCFMH patients are admitted to outside acute hospitals — determines the appropriate payer based on the patient's current benefits, insurance coverage, and applicable regulations.
• Audits outside medical payment vouchers — verifies payee, service dates, quantities, and dollar amounts against State Fiscal Rules and CDHS policy; confirms appropriate signature authority and documentation; recommends the correct CORE object code by fund, agency, organization unit, appropriation, object, sub-object, and reporting category; approves the voucher in CORE upon verification.

Payment Reconciliation

• Ensures payment posting in BEHR and CORE is completed daily and accurately — matching remittances to billed amounts and flagging underpayments at time of posting.
• 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.

Other Duties As Assigned

• Responsible for performance of assigned tasks and duties within the scope of practice for this position that do not fall within the realm of other duty statements.

Experience Only

• Eight (8) years of relevant experience in an occupation related to the work assigned to this position

OR

Education And Experience

• A combination of related education and/or relevant experience in Accounting or Healthcare equal to eight (8) years

Preferred Qualifications

• Previous State Experience
• Experience with Patient Billing and cash collections
• Familiar with patient billing, Medicare and Medicaid rules and regulations
• Familiar with Colorado Revised Statutes related to billing and the Institutes
• Familiar with Social Security Administration rules and regulations
• Experience with Avatar and CORE and supervision
• Ability to communicate with patients and/or their families
• Proficient with Microsoft Access, Microsoft Word, and Microsoft Excel

Conditions Of Employment

• May be required to work in excess of 40 hours per week to complete assigned duties, meet deadlines, or as requested by supervisor.
• This position works with confidential information and is expected to maintain confidentiality at all times
• Standard Background ALL CDHS employees (non-direct contact): CBI name check, ICON Colorado court database, Medicare fraud database, Reference checks, Professional License verification (licensure requirements), and drug screen (commercial Driver’s license)
• Vaccinations as required by the state of Colorado
• Former State employees who were disciplinarily terminated or resigned in lieu of termination must:
  • Disclose that information on the application.
  • Provide your employee number from your prior State employment. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.
  • Explain why the prior termination or resignation should not disqualify you from the current position.

CDHS Selection Process Explanation

Employment history is calculated on a full-time basis (40/hrs per week).

Part-time employment is calculated on a prorated basis to determine qualifications.

Be sure your application specifically addresses your qualifications, experience, work products, and accomplishments as they relate to the position and minimum requirements.

• Preferred Qualifications & Competencies:
  • Relevant years of state service experience.

Minimum Qualification Screening Process

A Human Resources Analyst will review the work experience/job duties sections of the online job application to determine whether your experience meets the minimum qualifications for the position.

You must complete the official State of Colorado online application.

Cover letters and resumes WILL NOT be reviewed during the minimum qualifications screening process.

You must specifically document your work experience and qualifications in the application form. Do not use "see resume" or "see attached."

You must meet the minimum qualifications to continue in the selection process.

Part-time work experience will be prorated.

Comparative Analysis Process – Structured Application Review

After minimum qualification screening, the comparative analysis process will involve reviewing and rating all the information you submit. The comparative analysis step may also include your results from standardized testing.

Your Work Experience/Job Duties

Document your work experience/job duties to the extent to which you possess the skills, education, experience, minimum qualifications, and preferred qualifications.

Answer all supplemental questions, as your answers to these questions will be evaluated during this phase. Provide at least 4-8 sentences for each supplemental question.

Supplemental Questions

Answer the supplemental questions completely and thoughtfully. We will rate your answers based on the content of your response and your writing skills (spelling, grammar, and clarity of your writing).

Appeal Rights

You may file an appeal with the State Personnel Board or request a review by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State Personnel Board website.

Below Is Some Additional Information

• You or your representative must sign and submit the official appeal form for review.
• You can find the official appeal form here.
• You must deliver the official appeal form to the State Personnel Board:
  • By email ([e-mail]), or
  • Postmarked in US Mail to(1525 Sherman Street, 4th Floor, Denver CO 80203, or
  • Hand delivered (1525 Sherman Street, 4th Floor, Denver, CO 80203), or
  • Faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department’s action.

Contact The State Personnel Board For Assistance

• At [phone], or
• Refer to the Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, within the Rules webpage.

Supplemental Information

• How to apply to the State of Colorado(YouTube Video, Runtime 3:59, Closed Captions Available)
• The Assessment Process

About Us & Benefits

If your goal is to build a career that makes a difference, join the dedicated people of the Colorado Department of Human Services (CDHS). Our professionals strive to design and deliver high-quality human and health services that improve the safety, independence, and well-being of the people of Colorado. Each of us is committed to contributing to a safe and accessible CDHS. In addition to a great location and rewarding and meaningful work, we offer:

• Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans
• Medical and dental health plans
• Employer-supplemented Health Savings Account
• Paid life insurance
• Short- and long-term disability coverage
• 11 paid holidays per year plus vacation and sick leave
• State of Colorado Employee BenefitHub Resource Center
• Employee Wellness program
• Excellent work-life programs, such as flexible schedules, training and more
• Remote work arrangements for eligible positions
• *Some positions may qualify for the Public Service Loan Forgiveness Program.

Our Values

• We believe in a people-first approach: We prioritize the needs, well-being, and dignity of the individuals, families, and communities we serve. We commit to respect, fairness, and access in every decision, policy, and interaction. We engage client voices and experiences in the development and implementation of the services we provide.
• Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.
• We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.
• Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.
• We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.
• Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.

ADA Accommodations

CDHS is committed to a Colorado for ALL qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment.

This includes completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or performing essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to [e-mail].

EEO Statement

The State of Colorado is an equal opportunity employer

We are committed to increasing a “Colorado for ALL" of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of all backgrounds and abilities. The State of Colorado believes that a “Colorado for ALL” drives our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.

Additional Support For Your Application

Toll Free Applicant Technical Support

If you experience technical difficulty with the NEOGOV system (e.g., uploading or attaching documents to your online application), call NEOGOV technical support at 855-524-5627 Mon-Fri between 6 am and 6 pm (Pacific Time).

Helpful hints: if you are having difficulty uploading or attaching documents to your application:

• Ensure your documents are PDF or Microsoft Word files.
• Close the document before you attempt to upload (attach).

The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program.

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