Account Clerk II - BHDS

Lancaster County•Lancaster, PA

About The Position

This is advanced clerical and accounting work involving the application of bookkeeping principles and practices for the Administrative Component of the Lancaster County Behavioral Health and Developmental Services agency. Considerable independent judgment, initiative, and action are required.

Requirements

Three (3) years of work involving the maintenance of fiscal or financial records, including one (1) year of responsible work which involves the application of accounting or fiscal principles and practices and graduation from high school; or One year of experience in maintaining and reviewing fiscal records and an associate degree in accounting or business administration; or Any equivalent combination of experience and training.
Thorough knowledge of bookkeeping principles and practices.
Knowledge of modern office practices and equipment.
Some knowledge of accounting principles and methods.
Ability to perform detailed work involving written or numerical data and to make arithmetical calculations rapidly and accurately.
Ability to prepare financial reports and statements.
Ability to apply and adapt established methods to financial transactions.
Must pass pre-employment drug screening test.
Must have acceptable background check that includes FBI Clearance, PA State Police criminal history and ChildLine clearances.
Clearances are required prior to the start of employment and may not be more than one year old at time of employment.
Must be able to work in a busy and open environment.

Responsibilities

Ensure that all open BH/DS consumers have a valid financial liability assessment, or its equivalent, in their permanent record as required by PA Code, Title 55, DHS Chapter 4305.
Calculate taxable and non-taxable income, reviewing allowable expenses, determining sliding-scale fees, identifying third-party resources such as MA eligibility in Promise, and updating the agency consumer database.
Prepare monthly liability reports, work with case management to determine which consumers need a waiver renewal or liability assessment, process waivers and liability appointment request letters, and update the agency consumer database.
Perform indirect liability duties, including receiving consumer calls to discuss liability assessment options, maintaining the master liability appointment schedule, monitoring the process for sending liability appointment request letters, auditing and tracking full fee status assignments for non-responsive consumers, auditing and tracking waiver of liability assignments for consumers with liability-free status, and completing hardship and abatement documents.
Process all consumer billing for liable services, including processing cash receipts, posting new charges and adjustments based on liability regulations and Medicare requirements, auditing statements for accuracy, maintaining the reconciliation spreadsheet, managing account aging, updating the consumer database for address and third-party billing changes, conducting dunning processes for delinquent accounts, responding to account collection and general inquiries, completing claim referral account write-offs and collection agency interactions, and preparing monthly accounts receivable reports.
Audit consumer billing and community provider transactions that may be billable to consumers. The audit process ensures all third-party resources are utilized.
Electronically submit monthly PerformCare (MH MCO) and Medical Assistance/Fee-for-Service billing for Crisis Intervention and Blended Case Management.
Analyze claim denials for Blended Case Management, determine the cause, and rebill claims as appropriate.
Obtain service authorizations and annual reauthorizations from PerformCare for all individuals enrolled in Blended Case Management.
Responsible for accounts payable duties, including entering purchasing requisitions for business services and processing invoices received through the Family Managed Services (FMS) program. This requires thorough knowledge of the county's purchasing guide, accounting code process, charge allocation, vendor code selection, and CARES claim entry.
Responsible for submitting and tracking clearance information (PA Criminal History Checks, Child Abuse History Checks, FBI Criminal History Check) for potential caregivers of eligible IDD consumers, based on ODP regulations.
Conducts initial and ongoing training for back-up coverage, as well as liability orientation training for all case managers and supports coordinators.
Processes cash receipts related to Bureau of Disability determination documents.
Maintains a procedure manual that clearly explains all job duties.
Performs office administrative duties to support the Fiscal Officer II, the department, and the agency.