This position: Our client, located in eastern Delaware County, is seeking an Accountant II, responsible for Planning and General, as well as Accounting and Reporting, Activities. If selected for this opportunity, you will become a Contract Employee of MFR Consultants, Inc., performing your duties at the client location. The position has the possibility of being extended, being converted to a permanent position at the client location, or being converted to a permanent position with MFR Consultants, Inc.
Class Title:
Accountant II
Working Title:
HealthChoices Accountant II
Class Code:
02103102
Regular Work Schedule:
Start Time: 8:30
End Time: 4:30
Lunch Length: 0.50
Hours/Week: 37.5
Days Worked: M-F
Position is: Full Time, Permanent
Reports to: Fiscal Officer II
Salary: $54,181
The HealthChoices Accountant Il is responsible for fiscal oversight and management of the HealthChoices program. HealthChoices is the State program that provides medical assistance to eligible persons, behavioral health services through a full-risk, prepaid capitated mandated managed care program. The HealthChoices accountant will interface on a regular basis with various fiscal and program staff at the managed care organization and other consultants including actuary, legal counsel, and financial consultant.
General responsibilities include planning and administering the budget; accounting for program transactions; monitoring revenue and expenditures; preparing and distributing internal and external financial reports; maintaining contact with state, county and provider personnel as required; and providing a financial support function to the program office.
Functional Responsibilities:
A. Planning and General Activities
1. Ensure fiscal compliance with the various Delaware County/provider contracts for Delaware County/Managed Care Organization (MCO) contract.
2. Set up budgets in the computerized accounting system.
3. Set up statutory reporting requirements, indicating the name and a description of each report, the frequency of preparation and the due dates.
4. Develop rate-setting packages for distribution to the Department of Public Welfare. Update the reports as program changes occur.
5. Maintain a system of regular contact with state and county personnel, provider personnel and program personnel, as appropriate.
B. Accounting and Reporting Activities
1. Record revenue in the appropriate revenue accounts and monitor against the budget.
2. Review, code and approve provider invoices submitted for payment after reviewing for ‘compliance with contract provisions.
3. Approve invoices charged to the HealthChoices programs after examining propriety of request, adequacy of support, eligibility and reasonableness of cost and compliances with statutory and grant guidelines and office procedures.
4. Analyze transactions and accounts included in the ledger reports each month for unusual items, miscoded transactions, variances from budget or other significant matters. Prepare any journal entries that are required to correct entries in the ledger reports and bring them up to date.
5. Prepare journal entries and pass to Chief Fiscal Officer for approval.
6. Maintain a file of journal entries and determine that each has been properly reflected in the ledger reports.
7. Prepare quarterly and annual statutory reports required by DPW.
8. Prepare any special requests for information required by DPW or other agencies.
9. Prepare and distribute HealthChoices management reports.
10. At year-end, prepare a reconciliation of accounts receivable and accounts payable to providers, with supporting detail.
11. Reconcile year-end computerized system reports (SAP) to the year-end DPW report and maintain documentation and explanations for any difference.
12. Track County administrative expenses and monitor against approved budget.
13. Monitor receipt and payment of the estimated and actual Managed Care Organization Assessment and maintain an up-to-date ledger of Managed Care Organization Assessment Payable.
14. Calculate monthly HealthChoices Cost of Care and administrative payment to Managed Care Organization and prepare wire transfers.
15. Prepare HealthChoices Cost of Care, Reinvestment, and Risk and Contingency bank account monthly reconciliations.
16. Ensure compliance with the contractual Financial Covenants and Performance Ratios for manage care organization.
17. Act as County (fiscal) Fraud and Abuse Coordinator for HealthChoices.
18. Review monthly Institution for Mental Diseases (IMD) and quarterly PLE data reports.
19. Review HealthChoices monthly, quarterly and annual reports from Managed Care Organization for accuracy and adherence to contract and financial reporting requirements and submit as necessary. These reports include the following:
• Subcontractor Summary of Transactions
• Related Party Transactions and Obligations
• Claims Payable
• Lag Reports
• Coordination of Benefits
• Balance Sheet
• Cash Flow
• Contract Reserve Compliance
• Insurance Department Qtr Filings
• Annual Counterpart Reports
20. Prepare HealthChoices monthly, quarterly and annual reports required from County and submit as necessary. These reports include the following:
• Primary Contractor Summary of Transactions
• Related Party Transactions and Obligations
• Balance Sheet
• Reinvestment
21. Monitor reinvestment cash account and track revenue and expenses against approved DPW Reinvestment Plan.
22. Track and analyze Managed Care Organization’s Incurred But Not Received (IBNR) balance and adjust as necessary.
23. Ensure Managed Care Organization is in compliance with applicable solvency requirements.
24. Participate in annual HealthChoices rate-setting process.
25. Participate in contract negotiations with Managed Care Organization as necessary.
26. Provide assistance with annual independent audit including determining necessary adjustments and preparing final financial schedules.
27. Complete site visits (as necessary) to providers verifying support documentation (payroll registers, general ledger, cost allocation plan, etc.) for actual expenses or units billed.
28. Perform other related duties as requested.