Cash Collection Manager/Administrator V - CFO Office

Salary : $92,232.00 - $147,588.00 Annually
Location : Pueblo, CO
Job Type: Full Time
Job Number: IIB 06298 10/8/2026
Department: Colorado Department of Human Services
Division: OBH - CMHIP
Opening Date: 10/08/2026
Closing Date: 10/22/2026 11:59 PM Mountain
FLSA: Determined by Position
Type of Announcement: This position is open only to Colorado state residents.
Primary Physical Work Address: 1600 W 24th Street Pueblo CO
FLSA Status: Exempt; position is not eligible for overtime compensation.
Department Contact Information:
How To Apply: Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.

Department Information
This position is open to current Colorado residents only.
The Revenue Cycle Management team supports all OCFMH facilities - including the Colorado Mental Health Hospital at Pueblo (CMHHP), the Colorado Mental Health Hospital at Fort Logan (CMHHFL), the Forensics Division, Mental Health Transitional Living programs (MHTLs), and the outpatient clinic. The team is organized into three functional lanes, each led by a Supervisor reporting to the Financial Services Manager. An independent Auditor also reports directly to the Manager across all lanes. Policy requirements from the Revenue Cycle Management Policies and Procedures (v1.0) are integrated into each role below.
Description of Job
Weekly Hybrid Working Arrangements

Minimum 2 days In Office and Maximum 3 days Remote Work

This position will comply with the CFO's Office's current

working arrangements.

Please note: Work arrangements are subject to change at any time.
The Back-End A/R and Collections Supervisor is responsible for converting booked revenue into collected cash and ensuring that uncollectible accounts are identified, documented, and written off appropriately across all OCFMH facilities.
Other duties include:

Revenue & Bad Debt Management:

• Responsible for including payer-specific insurance follow-up, payment posting reconciliation, secondary payer billing, denial appeals, aging management, bad debt write-off documentation, outside medical financial liability determination and payment voucher audit, and Medicare Bad Debt documentation for the annual Cost Report. Lane 3 is also the source of documentation that Lane 2 uses to prepare cash receipt and bad debt journal entries - payment posting totals and approved bad debt packages must be delivered to Lane 2 on a defined monthly schedule.
• Maintains aging reports with a full breakdown by: individual patient account, payer/guarantor (including ATP), dollar value, granular dates of service delivery per claim, date of claims submission, and mean age of claim.
• Owns the monthly payer reconciliation - for each payer, reconcile total revenue booked against total cash collected, adjustments taken, and outstanding A/R; identify unexplained variances.
• Provides finalized Medicare Bad Debt statistics and supporting documentation to the Financial Services Manager on the defined Cost Report schedule - the Manager owns Cost Report preparation and submission; Lane 3 owns the underlying account documentation.
• Prepares complete bad debt write-off packages for Manager approval - include ATP documentation, collection effort log, account aging detail, and original booked revenue amount; no CORE entry is made without Manager sign-off.
• Ensures all denied claims are worked and appealed, where applicable, no later than 30 days after submission of the denial.
• Tracks denial appeal submission time (mean, median, mode) quarterly for reporting to the Manager and CFO.

Supervisor of Billing team:

• Supervises three (3) billing technicians (to be created), which includes scheduling and delegating work; approve time off; handle performance issues; train employees; prepare performance plans and ratings; recommend need for progressive discipline; interview applicants, and recommend choice for hire, promotion, or transfer.
• Monitors staff accuracy and proficiency in the processing of Medicare and Medicaid claims, outside medical payments, and general office duties; documents problem areas, provide further training or counseling if performance does not improve.
• Researches and interprets regulations to answer questions and concerns regarding the duties of the billing technicians.

Outside Medical Liability:

• Reviews and approves financial liability for medical charges when OCFMH patients are admitted to outside acute hospitals - determines the appropriate payer based on the patient's current benefits, insurance coverage, and applicable regulations.
• Audits outside medical payment vouchers - verifies payee, service dates, quantities, and dollar amounts against State Fiscal Rules and CDHS policy; confirms appropriate signature authority and documentation; recommends the correct CORE object code by fund, agency, organization unit, appropriation, object, sub-object, and reporting category; approves the voucher in CORE upon verification.

Payment Reconciliation:

• Ensures payment posting in BEHR and CORE is completed daily and accurately - matching remittances to billed amounts and flagging underpayments at time of posting.
• Owns the monthly payer reconciliation - for each payer, reconcile total revenue booked against total cash collected, adjustments taken, and outstanding A/R; identify unexplained variances.

Other Duties As Assigned:

• Responsible for performance of assigned tasks and duties within the scope of practice for this position that do not
  fall within the realm of other duty statements.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Experience Only:

• Eight (8) years of relevant experience in an occupation related to the work assigned to this position

OR
Education and Experience:

• A combination of related education and/or relevant experience in Accounting or Healthcare equal to eight (8) years

Preferred Qualifications:

• Previous State Experience
• Experience with Patient Billing and cash collections
• Familiar with patient billing, Medicare and Medicaid rules and regulations
• Familiar with Colorado Revised Statutes related to billing and the Institutes
• Familiar with Social Security Administration rules and regulations
• Experience with Avatar and CORE and supervision
• Ability to communicate with patients and/or their families
• Proficient with Microsoft Access, Microsoft Word, and Microsoft Excel

Conditions of Employment:

• May be required to work in excess of 40 hours per week to complete assigned duties, meet deadlines, or as requested by supervisor.
• This position works with confidential information and is expected to maintain confidentiality at all times
• Standard Background ALL CDHS employees (non-direct contact):
  CBI name check, ICON Colorado court database, Medicare fraud database, Reference checks, Professional License verification (licensure requirements), and drug screen (commercial Driver's license)
• Vaccinations as required by the state of Colorado
• Former State employees who were disciplinarily terminated or resigned in lieu of termination must:
  • Disclose that information on the application.
  • Provide your employee number from your prior State employment. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.
  • Explain why the prior termination or resignation should not disqualify you from the current position.

CDHS Selection Process Explanation
Employment history is calculated on a full-time basis (40/hrs per week).

Part-time employment is calculated on a prorated basis to determine qualifications.

Be sure your application specifically addresses your qualifications, experience, work products, and accomplishments as they relate to the position and minimum requirements.

• Preferred Qualifications & Competencies:
  
  • Relevant years of state service experience.

Minimum Qualification Screening Process
A Human Resources Analyst will review the work experience/job duties sections of the online job application to determine whether your experience meets the minimum qualifications for the position.

You must complete the official State of Colorado online application.

Cover letters and resumes WILL NOT be reviewed during the minimum qualifications screening process.

You must specifically document your work experience and qualifications in the application form. Do not use "see resume" or "see attached."

You must meet the minimum qualifications to continue in the selection process.

Part-time work experience will be prorated.

Comparative Analysis Process - Structured Application Review
After minimum qualification screening, the comparative analysis process will involve reviewing and rating all the information you submit. The comparative analysis step may also include your results from standardized testing.
Your Work Experience/Job Duties
Document your work experience/job duties to the extent to which you possess the skills, education, experience, minimum qualifications, and preferred qualifications.

If listed, answer all supplemental questions, as your answers to these questions will be evaluated during this phase. Provide at least 4-8 sentences for each supplemental question.
Supplemental Questions
Answer the supplemental questions completely and thoughtfully. We will rate your answers based on the content of your response and your writing skills (spelling, grammar, and clarity of your writing).

Appeal Rights
You may file an appeal with the State Personnel Board or request a review by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State Personnel Board website.

Below is some additional information:

• You or your representative must sign and submit the official appeal form for review.
• You can find the official appeal form here.
• You must deliver the official appeal form to the State Personnel Board:
  
  • By email (dpa_state.personnelboard@state.co.us), or
  • Postmarked in US Mail to(1525 Sherman Street, 4th Floor, Denver CO 80203, or
  • Hand delivered (1525 Sherman Street, 4th Floor, Denver, CO 80203), or
  • Faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department's action.

Contact the State Personnel Board for assistance:

• At (303) 866-3300, or
• Refer to the Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, within the Rules webpage.

Supplemental Information

• How to apply to the State of Colorado(YouTube Video, Runtime 3:59, Closed Captions Available)

• The Assessment Process