Accounts Receivable Financial Analyst I

Who We Are 

Pacific Clinics is California's largest community-based nonprofit provider of behavioral and mental health services and supports. Our team of more than 2,000 employees speak 22 languages and are dedicated to offering hope and unlocking the full potential of individuals and families through culturally responsive, trauma-informed, research-based services for individuals and families from birth to older adults.  

Who We Serve 

Pacific Clinics serves children, transitional age youth, families, adults, and older adults. We offer a full range of mental and behavioral health services, foster care and social services, housing, continuing adult education and early childhood education programs to Medi-Cal eligible individuals and families throughout Alameda, Contra Costa, Fresno, Kings, Los Angeles, Madera, Orange, Placer, Riverside, Sacramento, San Bernardino, San Francisco, Santa Clara, Solano, Stanislaus, Stockton, Tulare and Ventura Counties.   

What We Offer 

• The compensation for this position can be up to $34,66. Compensation will vary based on qualifications, skills, experience, and geographic location.  The salary range may vary if you reside in a different location or state than the location posted. 
• We Offer Medical, Dental & Vision benefits, retirement options, Flex Spending, EAP, and more!   
• Employee engagement and advocacy opportunities to advance our justice, equity, diversity, and inclusion agenda across our Agency and throughout the communities we serve. 

JOB SUMMARY

Under general supervision, works within the vision, mission and philosophy of the agency ensuring the promptness and accuracy of monthly agency reporting requirements, contract interpretation, billings and acts as the key liaison with designated funders.  Provides troubleshooting (BCMS, Tier, Tier Billing) to adhere to programmatic changes, conversions and to address billing errors. 

RESPONSIBILITIES AND DUTIES

1. Provide timely reporting requirements to maximize contracts secure adequate payment and remain in contractual compliance.

•  Develop and produce monthly census reports.
•  Develop and produce client flex fund expenditure reports.
•  Develop and produce client monthly summary reports.
•  Prepare line item costs by engineering the regional and occupancy pool statements to combine with project statements to get contract budget line item detail for cost reimbursement programs on a monthly basis and complete required county forms.
•  Regularly analyze Agency’s billing and Funder reports to identify any variances and resolve.
•  Provide financial analysis, drawing conclusions and formulating recommendations to ensure efficiencies and audit readiness.
•  Analyze monthly reimbursement reports and contract terms to provide guidance for program and funding source based payment application and error resolution.
•  Attain information and coordinate process flow between billing department and clinical staff and funder.

2.  Ensure proper billing occurs in accordance with Uplift Family Services’ county funded billing contracts and actively follow up on billing issues and past due accounts with applicable staff ensuring issues are resolved.  This includes but is not limited to:

•  Review and interpret contracts for billing requirements, reimbursement specificity and reporting.  Attain any pertinent information that has fiscal A/R impacts.
•  Set-up monthly billing templates, calculate timely and accurate monthly claims and produce any needed monthly financial reporting forms.
•  Additionally, produce timely and accurate billings for any private insurance clients and determine what needs to be held back from county monthly claim due to other health coverage or lack of service authorization.  Provide timely follow through and resolution with held back billing..
•  Provide support to clinical staff and management team in the area of funding source compliance and reporting requirements in applicable areas.
•  Key liaison between fiscal funding representatives and Uplift Family Services’ program staff and management.  As needed, provide information and feedback to funding sources and participate in necessary meetings and error resolution.
•  Act as lead with IT on troubleshooting BCMS errors for applicable contracts..

3. Work closely with the Supervisor and Billing Manager in specific functional areas:

•  Be cross-trained in identified functional areas

4. Independently perform other responsibilities or special projects, as assigned by management, to