FISCAL ASSISTANT II; MEDICAL BILLING / AR

Florida; Sarasota (FL); Sur place; USD 38 000 - 54 000; Plein temps

Résumé du poste

The Florida Department of Health is seeking a Fiscal Assistant II to support medical billing and accounts receivable across county health departments. The role focuses on maximizing revenue by following up on insurance claims and patient balances using HMS and PALM systems.

Responsibilities include posting payments, processing denials, and ensuring accurate billing while maintaining patient confidentiality.

Qualifications

• Knowledge of Microsoft Office software and HMS billing software.
• Ability to use email and internet for correspondence.
• Ability to learn and communicate effectively in English.

Responsabilités

• Run HMS aged receivable reports monthly and contact payers for balances.
• Post payments, prepare deposits and process denials per policy.
• Bill services in HMS to payer sources; protect client confidentiality.
• Document collection efforts and initiate payer projects to resolve reimbursements.
• Address inquiries with clients by phone or in person; resolve issues.
• Comply with DOH AR, cash handling policies, and Florida debt laws.

Connaissances

Microsoft Office

HMS clinic billing software

Email

Internet access

Formation

English proficiency requirement

Description du poste

FISCAL ASSISTANT II; MEDICAL BILLING / AR

The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website .

Requisition No:886958

Agency: Department of Health

Working Title: FISCAL ASSISTANT II; MEDICAL BILLING / AR

This position reports to the Accountant Supervisor within the Accounts Receivable Section of the Fiscal office. The accounts receivable section is responsible for the processing of all billing for medical and dental services provided at all partner Billing Hub County Health Departments through the Health Management System (HMS) with a major focus on collecting all insurance claims and patient accounts in order to maximize revenue. This position follows and monitors compliance (when applicable) of the mandatory requirements of Section 215.422, Florida Statutes, and Chapter 2A-20, Florida Administrative Code. This position is part of a Regional Billing Hub for multiple County Health Departments within the state of Florida, responsible for most Accounts Receivable functions for these Health Departments.

• Run HMS Aged Receivable reports at least monthly. Contact clients and third-party insurance companies with outstanding balances for payment for Sarasota and partner Billing Hub counties. Utilize every means at disposal to follow up on outstanding account balances via email, web portals, phone and mail. Appeal inappropriate denials. Work with supervisor and provider representatives to address reimbursement issues.
• Post payments, prepare deposits and process denials upon receipt of remittance vouchers to HMS for Sarasota and contracted hub counties according to most recent Accounts Receivable Policy. Appeal Inappropriate denials in a timely manner following assigned payer source guidelines and requirements. Identify revenue coding with Voucher Posting reports for input to PALM (State Accounting System) to assure revenue is coded to the appropriate programs for all contracted Billing Hub counties.
• Bill services provided to clients in HMS to appropriate payer source following Department of Health (DOH) policies and procedures and industry standards. Maintain accurate billing information in HMS and ensure that client confidentiality is adhered to in all phases of the collection process. Bill claims directly on Medicaid and other web portals when appropriate. Understand and interpret standard billing, coding and compliance regulations and guidelines for Medicare, Medicaid, private insurance, and HMO's.
• Document collection efforts for all payer sources utilizing the monthly reports. Includes initiating claims projects with assigned payer sources to resolve inaccurate reimbursements to DOH-Sarasota and billing hub partner counties.
• Work with clients in person and on the phone to investigate inquiries and irregularities to patient accounts to resolve any issues or concerns.
• Perform all collection duties in compliance with the most recent Department of Health (DOH) Accounts Receivable and DOH Cash Handling policies, as well as Florida Debt Collection Laws.
• Process requests for all refunds according to the DOH Accounts Receivable Policy.
• Cross train to provider coverage to other team members on leave.
• Other duties and responsibilities as required by Fiscal department, which include but are not limited to attendance and participation at meetings, providing coverage to team members on leave, etc.

Required Knowledge, Skills, and Abilities

• Knowledge of Microsoft Office software, HMS clinic billing software, e-mail, and internet access
• Ability to be dependable, flexible, and to take initiative
• Ability to work with others in a professional, courteous, and helpful manner
• Ability to present a positive image of DOH-Sarasota and self

Qualifications

• All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English.

Florida Department of Health Mission, Vision, and Values:

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be theHealthiestState in the Nation.

Values:

Innovation: We search for creative solutions and manage resources wisely.

Collaboration: We use teamwork to achieve common goals & solve problems.

Accountability: We perform with integrity & respect.

Responsiveness: We achieve our mission by serving our customers & engaging our partners.

Excellence: We promote quality outcomes through learning & continuous performance improvement.

Where You Will Work:

William L. Little Health & Human Services Center

Sarasota, FL 34237

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

• Annual and Sick Leave benefits;
• Nine paid holidays and one Personal Holiday each year;
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
• Retirement plan options, including employer contributions

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.

This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace.

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.

Service Center hours are Monday through Friday, 8:00 a.m. to 6:00 p.m., ET. TTY users, call [phone].

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes,candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here . All documentation is due by the close of the vacancy announcement.

Location: SARASOTA, FL, US, 34237

Nearest Major Market: Sarasota

Nearest Secondary Market: Tampa

For assistance, call the People First Service Center at [phone] Monday - Friday, 8:00 a.m. to 6:0 p.m., Eastern time. Pursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer.