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Trust Fund Monitor

Company: North Texas State Hospital - Wichita Falls Campus
Location: Wichita Falls
Posted on: June 12, 2021

Job Description:

Accountant IV
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 facilities.
> 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 (MEPD)program
> 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 schedule
? Conduct confidential financial complaint investigations as
? Conduct Contract Closeout Audits as assigned
? Follow up activities (All 3 essential functions require the same follow procedures)
? Participate in Formal and informal appeals
? Travel

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 Insurance policies
?Texas Administrative Code (TAC) references related to Residents? funds
? Evaluation and assessment of accounting systems, fiscal data and reports
? Interpret State and Federal rules, regulations, standards, policies, procedures, and apply them effectively
? Communicate on a complex level with others (internally and/or externally)
? Display assertiveness appropriate to the situation
? Develop, evaluate and enforce sanctions and corrective action plans
? 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 Disabled (MEPD).
? 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 outcomes

Additional Information:
Req ID 483910
Must pass fingerprint and background check

MOS Code:

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 interview.

Keywords: North Texas State Hospital - Wichita Falls Campus, Wichita Falls , Trust Fund Monitor, Other , Wichita Falls, Texas

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