Trust Fund Monitor
Company: North Texas State Hospital - Wichita Falls Campus
Location: Wichita Falls
Posted on: June 12, 2021
Accountant IV The Trust Fund Monitor (TFM) conducts trust fund
monitoring reviews, Change of Ownership (CHOW) and facility closure
audits and financial complaint investigations in an assigned
caseload of nursing facilities and Intermediate Care Facilities for
Persons with an Intellectual Disabilities (ICF/IID), to assure
compliance with federal and state requirements related to the
management and protection of resident funds on deposit with
> The TFM sets their own schedule and be able to travel 60%
during the week, visiting nursing homes and ICFs.
>Must must be able to interpret and apply State and Federal
rules, regulations, and standards; internal policies; and
procedures which govern the management and protection of resident
funds held for safekeeping by these facilities.
> Analyze and evaluate facts, fiscal data and accounting
systems, and present findings orally and in writing.
> Display a sense of fairness and impartiality during encounters
with HHSC contractors.
Examples of rules and regulations which the TFM must have working
knowledge of are, but not limited to
> the Texas Administrative Code (TAC);
> Centers for Medicare and Medicaid (CMS) rules
> Medicaid eligibility requirements for the Elderly and Disabled
> Social Security Rules for Representative Payees
> Generally Accepted Accounting Principles > General ledger
and accounts receivable
> bank reconciliation
> Reimbursement issues related to Medicare, Medicaid, Managed
Care, Long Term Care Insurance
> Must be able to analyze and gain an understanding and working
knowledge of various accounting systems used by facilities.
A a result of reviews and investigations, it may be necessary for
the TFM to develop, implement and enforce corrective actions
against facilities. These must be in accordance with federal and
state regulations and program policies and procedures; as well as
within required timelines. The TFM must provide follow-up, and
determine if further corrective actions must be taken, including
placing the contract on Vendor Hold.
In addition, while on site for an investigation or monitoring
review, if the TFM observes or identifies a situation of direct or
potential jeopardy to the health and safety of a resident or the
TFM suspects abuse, neglect and/or exploitation of a resident, the
TFM must report it to the proper authorities.
The TFM is required to communicate on a complex level with others
(internally and externally) to provide, exchange, or verify
information and to provide complex technical assistance to
facilities related to compliance issues. TFM must answer inquiries,
address issues, and resolve complaints/disputes which arise within
their caseload. This job requires a high level of multi-tasking,
and the ability to negotiate and successfully resolve issues.
The TFM is responsible for submitting fraud referrals, Employee
Misconduct Registry (EMR) referrals and Nursing Home Administrator
Misconduct referrals, as necessary, based on information learned
during monitoring and investigations. Referrals may be made to the
Texas Office of Attorney General (OAG); the Office of Inspector
General (OIG), as well as the US Social Security Office. The TFM
may be required to provide evidence and testimony in court, related
to these cases.
The TFM must complete assigned investigations and submit reports in
accordance with requirements stated in the Trust Fund Monitor
Handbook (TFMHB); submit their monitoring workbooks and report
their activities on a weekly basis and maintain electronic case
files in accordance with the requirements stated in the TFMH; make
their own travel arrangements; prepare monitoring paperwork; and
submit travel reimbursement requests in a timely manner.
Essential Job Functions:
.Conduct onsite financial monitoring visits according to
? Conduct confidential financial complaint investigations as
? Conduct Contract Closeout Audits as assigned
? Follow up activities (All 3 essential functions require the same
? Participate in Formal and informal appeals
Knowledge Skills Abilities:
?Generally Accepted Accounting Principles (GAAP)
?Program and eligibility criteria related to Medicaid for the
Elderly and Permanently Disabled (MEPD)
?Proficiency in Word & Excel
?Accounts receivable processes and reports
?Bank reconciliations and general ledger
?Reimbursement issues related to Medicare, Medicaid, Long-term Care
?Texas Administrative Code (TAC) references related to Residents?
? Evaluation and assessment of accounting systems, fiscal data and
? Interpret State and Federal rules, regulations, standards,
policies, procedures, and apply them effectively
? Communicate on a complex level with others (internally and/or
? Display assertiveness appropriate to the situation
? Develop, evaluate and enforce sanctions and corrective action
? Problem resolution and negotiating for positive outcomes
? Preparing concise and accurate reports according to schedule
? Organize and prioritize workload
? Work under stress and meet strict deadlines
? Travel up to 60% weekly
Registration or Licensure Requirements:
Valid drivers license
Initial Selection Criteria:
. Graduation from an accredited four-year college or university
with major course work in business or a related field is generally
preferred. Experience and education may be substituted for one
another. Display the following:
? Knowledge of Medicaid eligibility for the Elderly and Permanently
? Knowledge of Generally Accepted Accounting Principles (GAAP),
including bank reconciliations and accounts receivable
? Ability to demonstrate proficiency in Word and Excel
? Ability to travel 60% of the week.
? Experience in gathering information and applying complex policy
to determine compliance with rules and/or procedures;
? Experience in problem resolution and negotiating for positive
Req ID 483910
Must pass fingerprint and background check
HHS agencies use E-Verify. You must bring your I-9 documentation
with you on your first day of work.
- Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS
agencies will provide reasonable accommodation during the hiring
and selection process for qualified individuals with a disability.
If you need assistance completing the on-line application, contact
the HHS Employee Service Center at 1-888-894-4747. If you are
contacted for an interview and need accommodation to participate in
the interview process, please notify the person scheduling the
Keywords: North Texas State Hospital - Wichita Falls Campus, Wichita Falls , Trust Fund Monitor, Other , Wichita Falls, Texas
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