Ambulance Accounting Analyst

Pinellas County Government; Largo (FL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Comprehensive Benefits Package

Florida Retirement System (FRS)

Generous leave time

Wellness Program

Deferred compensation

Job summary

Pinellas County Government in Largo, FL seeks an experienced professional to manage medical billing, accounting, and financial reconciliation within the ambulance billing revenue cycle. The role reports to a manager in Financial Services and requires passing a Level 2 CJIS background clearance.

Responsibilities include reconciling daily receipts, applying remittances, researching variances, generating financial reports, QA audits, and supporting audits.

Qualifications

• Accounting, accounts receivable, or financial reconciliation, preferably in a medical billing environment, that includes conducting data analysis, reconciling accounts, resolving complex billing issues, and practical use of computer equipment.
• Degree: Accounting, finance, business administration, or related field.
• Assignment to work a variety of work schedules including compulsory work periods in special, emergency, and/or disaster situations.

Responsibilities

• Reconcile daily cash receipts, lockbox, credit card, and electronic remittance (ERA/EFT) postings to bank deposits and the billing system; research and clear variances and unapplied balances.
• Examine, reconcile, and properly apply claim remittances, Explanations of Benefits, bank statements, and invoices to patient accounts, maintaining a complete audit trail for each transaction.
• Research unidentified and misapplied funds to determine the correct account attribution and prepare the corresponding correcting entries and adjustments.
• Process and document refunds, offsets, adjustments, and write-offs, including determining the entity to whom a refund is due in overpayment situations and ensuring approvals and supporting records meet County and audit requirements.
• Prepare fiscal and financial reports, including accounts receivable aging, payer-level revenue and collections, outstanding balance and payment trend analysis, and reconciliation of accounts receivable balances to control totals.
• Prepare, audit, or compile computer-generated spreadsheets, revenue tracking reports, daily deposit reconciliations, and revenue distribution reports for Division management and County Finance.
• Analyze and verify daily edit and exception reports, identifying and resolving posting, balancing, and data anomalies before they affect financial reporting.
• Conduct Quality Assurance (QA) audits of billing, payment posting, and cash-handling functions for compliance with applicable regulations, internal controls, and the terms and conditions of specified funding or programs
• Resolve complex billing errors, misapplied funds, and other financial anomalies, including conducting applicable research and documenting findings.
• Perform functions associated with the later stages of the revenue cycle, such as claim appeals, inaccurate claim denials, payment errors, and overpayment determinations.
• Support internal and external audits by compiling reconciliations, supporting schedules, and documentation requested by auditors, County Finance, and regulatory agencies.
• Write fiscal, billing, and cash-handling processes and procedures that align with Division workflows and internal control requirements.
• Supervise, train, and provide technical support to subordinate staff, supervisors, and managers on accounting, reconciliation, and billing matters.
• Answer questions that involve searching for, abstracting, and manipulating technical financial data from multiple sources.
• Apply County, Department, and Division policies, procedures, and guidance in the commission of duties.
• Assist with billing and payment posting as needed.
• Serve as back-up to co-workers and may serve as back-up for higher-level employees.
• Perform other related job duties as assigned

Skills

Accounting

Accounts receivable

Financial reconciliation

Data analysis

Medical billing

Education

Bachelor’s degree

Associate’s degree

Master’s degree

Equivalent combination of education, training, and/or experience

Job description

Location: 10750 Ulmerton Rd., Largo, FL 33774

Do you possess medical billing, accounting, financial, and analytical work experience?

This position involves highly complex medical billing, accounting, financial, and analytical work, performing a variety of specialized duties related to an ambulance billing revenue cycle. The position reports to a manager or supervisor within the Financial Services Division of the Safety and Emergency Services Department.

MUST BE ABLE TO PASS AND MAINTAIN A LEVEL 2 CJIS BACKGROUND CLEARANCE

What Would You Do?

• Reconcile daily cash receipts, lockbox, credit card, and electronic remittance (ERA/EFT) postings to bank deposits and the billing system; research and clear variances and unapplied balances.
• Examine, reconcile, and properly apply claim remittances, Explanations of Benefits, bank statements, and invoices to patient accounts, maintaining a complete audit trail for each transaction.
• Research unidentified and misapplied funds to determine the correct account attribution and prepare the corresponding correcting entries and adjustments.
• Process and document refunds, offsets, adjustments, and write-offs, including determining the entity to whom a refund is due in overpayment situations and ensuring approvals and supporting records meet County and audit requirements.
• Prepare fiscal and financial reports, including accounts receivable aging, payer-level revenue and collections, outstanding balance and payment trend analysis, and reconciliation of accounts receivable balances to control totals.
• Prepare, audit, or compile computer-generated spreadsheets, revenue tracking reports, daily deposit reconciliations, and revenue distribution reports for Division management and County Finance.
• Analyze and verify daily edit and exception reports, identifying and resolving posting, balancing, and data anomalies before they affect financial reporting.
• Conduct Quality Assurance (QA) audits of billing, payment posting, and cash-handling functions for compliance with applicable regulations, internal controls, and the terms and conditions of specified funding or programs
• Resolve complex billing errors, misapplied funds, and other financial anomalies, including conducting applicable research and documenting findings.
• Perform functions associated with the later stages of the revenue cycle, such as claim appeals, inaccurate claim denials, payment errors, and overpayment determinations.
• Support internal and external audits by compiling reconciliations, supporting schedules, and documentation requested by auditors, County Finance, and regulatory agencies.
• Write fiscal, billing, and cash-handling processes and procedures that align with Division workflows and internal control requirements.
• Supervise, train, and provide technical support to subordinate staff, supervisors, and managers on accounting, reconciliation, and billing matters.
• Answer questions that involve searching for, abstracting, and manipulating technical financial data from multiple sources.
• Apply County, Department, and Division policies, procedures, and guidance in the commission of duties.
• Assist with billing and payment posting as needed.
• Serve as back-up to co-workers and may serve as back-up for higher-level employees.
• Perform other related job duties as assigned

What Do You Need to Have?

Experience: Accounting, accounts receivable, or financial reconciliation, preferably in a medical billing environment, that includes conducting data analysis, reconciling accounts, resolving complex billing issues, and practical use of computer equipment.

Degree: Accounting, finance, business administration, or related field.

• Six (6) years of experience as described above; or
• An Associate’s degree and 4 years of experience as described above; or
• A Bachelor’s degree and 2 years of experience as described above; or
• A Master’s or higher-level degree and some experience as described above; or
• An equivalent combination of education, training, and/or experience.
• Assignment to work a variety of work schedules including compulsory work periods in special, emergency, and/or disaster situations.

When you join Pinellas County, you’re not just taking on a job—you’re investing in your future. We believe in supporting our employees with exceptional benefits that help you thrive both professionally and personally. Here's why our benefits stand out as some of the best in the area:

• Comprehensive Benefits Package: Enjoy affordable medical, dental, vision, life insurance, flexible spending accounts, and more that meet the needs of you and your family.
• Florida Retirement System (FRS): Secure your financial future with a robust retirement plan that gives you peace of mind as you plan for tomorrow.
• Generous leave time: Take advantage of time off to recharge and enjoy life outside of work.
• Wellness Program: Access to county gyms 24/7 and wellness programs as part of our commitment to employee wellness.
• Deferred compensation: Build your savings and plan for the future with flexible deferred compensation options tailored to your financial goals.
• To learn more, see What We Offer

Want to Learn More?

Please review the full classification description with the Physical/Mental Demands and Working Conditions at the below link.