Fiscal Officer I - Reimbursement Account Specialist

Alexandria, VA
$56,835.22 - $77,884.04 Annually
Jul 30, 2021
Aug 13, 2021
Full Time
Fiscal Officer I

Reimbursement Account Specialist

The City of Alexandria is located in northern Virginia and is bordered by the District of Columbia (Potomac River), Arlington and Fairfax counties. With a population of approximately 150,000 and a land area of 15.75 square miles, Alexandria is the seventh largest city in the Commonwealth of Virginia. Alexandria has a charming waterfront and is a unique and historic place to live and work. About one-quarter square miles in the city have been designated as a national or local historic district. We proudly embrace our rich history and seize the endless opportunities that lie ahead. If you are interested in working for the vibrant City of Alexandria, we invite qualified candidates to apply for our Fiscal Officer I position.

An Overview
The Fiscal Officer I is responsible for the review, research, management, and preparation of reimbursement medical billing and reimbursement financial duties. Supervises and performs analytical and evaluative work as well as assists other fiscal team members in operations for the Divisions to include providing support to division directors and staffs. Work under minimal supervision to carry out most assignments and is responsible for Alexandria Department of Community & Human Services (DCHS), Alexandria Community Services Board (CSB)’s financial audits as well as medical billing. This individual will be responsible for the execution of providing revenue reports to assist in the development and monitoring of the budget in assigned program area for the Alexandria Department of Community & Human Services. Assist the Centers in monitoring expenditures and revenues for the CSB services. Perform analytical work involving managing, explaining, and preparing reconciliations between financial systems. Manage local procedures and policy for program matters.

What You Should Bring
The ideal candidate should have thorough knowledge of the principles and practices of public administration; good knowledge of the modern principles and practices of reimbursement and how it ties back to finance, government medical billing, insurance, report research findings, and good knowledge of municipal government operations; good knowledge of Credible our electronic health systems and MUNIS our financial system; ability to establish and maintain effective working relationships with division and central agency officials, co-workers, and with the public; ability to communicate clearly and effectively, both orally and in writing; ability to analyze, interpret, and report research findings; ability to supervise the work of others; and the ability to perform the tasks of the position independently and to make decisions, especially in the absence of the supervisor.

Example of Duties:
  • Responsible for the execution of a full reimbursement business process audit to help determine the adequacy of controls over the administrative functions covering CSB teams;
  • Assist the Centers in developing projections for the budgets and monitor expenditures and revenues. Provide monthly/quarterly projections in Reimbursement revenue collection; including but not limited to Medicaid, Medicaid Magellan, Self-pay, Medicare, Commercial insurance, and revenue received from neighboring jurisdictions. Work with fiscal team during year-end closing to project revenue accruals for Reimbursement Services;
  • Prepare, revise, monitor and report financial information. Prepare journal vouchers to record transactions accurately. Reviews, and examine the significant impact of CSB billing policy changes on new or revised program requirements and reimbursement decisions on program accomplishments;
  • Reviews CSB services provided in the Electronic Health Record to ensure that state and federal guidelines for billing were followed and report back findings, recommendations, and possibly management responses for presentation. Assist in the collection of information for clinician/insurance credentials;
  • Participates in providing electronic health financial record reports for other Fiscal team members budget preparation and mid-year budget revisions including budget submissions of contract agencies. Approve CSB payment allocations from the treasurer’s office, wire transfers, and deposits for payment of CSB services obtained in operating programs;
  • Conducts investigation of revenues for CSB teams to ensure proper collection and reconciliation occurred and any outstanding revenue will be followed up on and collected when possible and improve modification methodology applied to our electronic health system controls if necessary, to ensure Medicaid service compliance;
  • Reviews and completes full cycle billing for the CSB after verifying that the client’s chart is in compliance with federal and state insurance procedures and regulations;
  • Manages and performs regular analysis and reconciliation for deposits and organizational cost accounts to determine variances from budgeted amounts and make recommendations regarding any problems. Provide revenue (financial) information and associated trend analysis to internal and external stakeholders Review external CSB contracts HIDTA, Methasoft, and other CSB invoices monthly/quarterly and assist in the development of financial reports, tracks and monitors reimbursement request;
  • Monitor the supervision of staff workflow to ensure proper CSB Financial reporting and billing, processing of CSB accounts payables & accounts receivable, proper accounting procedures and internal controls are being followed. Serves as ongoing subject matter expert in Credible EHR and MUNIS financial system;
  • Research and analyze reimbursement accounting reports/records and review transactions posted to the accounting system. Serve as back-up to Reimbursement Manger as well as review and approve Kronos for immediate staff. Coordinate with Procurement on the development of requests for proposals (RFPs) and work with other fiscal team members for the requisitions. Request new organizational cost accounts for new accounts within the financial system;
  • Performs other duties as assigned.

About the Department

The Department of Community and Human Services (DCHS), Center of Operations is comprised of the Finance, Information Technology, Facilities, Human Resources and Contracts functions for the department. Like the larger Department, we are ethical stewards of the resources entrusted to us and are accountable for our actions. We communicate consistently, honestly and openly and demonstrate integrity in all aspects of our work.

Minimum & Additional Requirements

Four-Year College Degree and completion of college-level courses in the principles and theories of accounting, budgeting, procurement, contracting, human resources management, training or related administrative management experience in the subject matter area; one year of experience in progressively-responsible positions involving public administration, including some experience in public financial planning and administration; or any equivalent combination of experience and training which provides the required knowledge, skills and abilities.

Preferred Qualifications

Three years of experience in local government reimbursement operations. At least one year of experience in the use of Credible Electronic Health Record system as well as MUNIS our financial system. Must have a valid driver’s license.


This position requires thesuccessful completion of pre-employment background checks including but notlimited to: FBI/Federal Records Check; VA State Child Abuse/Neglect Registry;Medicare/Medicaid Fraud Database; education/certifications; and driver’s license.

Schedule: Monday through Friday, 8:00AM to 5:00PM (hours are flexible).

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