Fiscal Technician

Commonwealth of VA Careers; Culpeper (VA); On-site; USD 49,000 - 55,000; Full time

Job summary

The Accounts Receivable position within the Rappahannock-Rapidan Health District supports fiscal operations, focusing on medical billing and insurance receivables, posting payments, reconciling remittance data, and resolving denied claims.

This role offers a stable Monday–Friday, 8:00 a.m.–4:30 p.m. schedule with no evenings, weekends, or holidays, and opportunities to collaborate with clinical and administrative teams to ensure accurate billing and revenue.

Qualifications

• Experience with accounting and bookkeeping standards.
• Proficiency in Microsoft Excel, Access and Word.
• Experience with accounting systems and batch processing.
• Strong organizational, billing, customer service and data entry skills.
• Ability to prepare, file and reconcile data.
• Experience processing vouchers.

Responsibilities

• Post and reconcile payments from insurance companies.
• Review remittance information and research denied or unpaid claims.
• Identify billing discrepancies and follow up to resolutions.
• Prepare invoices and apply payments for accounts with the district.
• Maintain AR records and assist with deposits and reconciliations.
• Collaborate with clinical, administrative and fiscal staff to ensure accurate billing.

Skills

Accounting basics

Billing and AR

Data entry

MS Excel

Administrative coordination

Tools

Excel

Access

Word

Job description

Title: Fiscal Technician

State Role Title:Admin and Office Spec III

Hiring Range: $48,612 - $55,000

Pay Band: 3

Agency: Virginia Department of Health

Location:RAP-RAP-CULPEPPER

Agency Website:https://www.vdh.virginia.gov/rappahannock-rapidan/

Recruitment Type: General Public - G

Job Duties

The Accounts Receivable position supports the Rappahannock-Rapidan Health District’s fiscal operations, with a primary focus on medical billing and insurance receivables. Responsibilities include posting and reconciling payments from insurance companies, reviewing remittance information, researching denied or unpaid claims, identifying billing discrepancies, and following up as needed to resolve outstanding balances. The position also works directly with organizations and other customers that maintain billing accounts with the district, including preparing invoices, applying payments, researching account questions, and following accounts through resolution. Additional responsibilities include maintaining accurate accounts receivable records, assisting with deposits and reconciliations, and working closely with clinical, administrative, and fiscal staff to ensure services are billed correctly and revenue is received and properly recorded.

This role provides a consistent Monday–Friday, 8:00 a.m.–4:30 p.m. schedule with noevening, weekend, or holiday work, supporting a strong work–life balance.
Successful candidates will join a committed, collaborative team that valuesprofessionalism, service, and a supportive workplace culture.

Minimum Qualifications

• Working knowledge of accounting and bookkeeping standards
• Skill and experience with Microsoft applications to include Excel, Access and Word
• Working knowledge and ability to use accounting and/or similar batch type systems
• Strong organizational, billing customer service and data entry skills
• Ability to prepare, file and reconcile data
• Experience processing vouchers

Additional Considerations

• Working knowledge of the Commonwealth Accounting System (Cardinal)
• Knowledge of state accounting policies and procedures

Employment Eligibility and Background Checks

Employment is contingent upon satisfactory results of a state and federal criminal history background check and the Department of Social Service’s Child Abuse and Neglect Central Registry check, U.S. HHSIG Exclusion List check, employment reference check and E-Verify. Other financial, credit, driving, background checks or completion of Statement of Economic Interests may be required for certain positions.

It is the policy of the Commonwealth and VDH that all aspects of human resource management be conducted without regard to race (or traits historically associated with race including hair texture, hair type, and protective hairstyles such as braids, locks, and twists); sex; color; national origin; religion; sexual orientation; gender identity or expression; age; veteran status; political affiliation; disability; genetic information; and pregnancy, childbirth, or related medical conditions. VDH employees have a shared Code of Ethics, which can be found in the bottom banner of our website: www.vdh.virginia.gov.

If you have been affected by DHRM Policy 1.30 layoff and possess a valid Interagency Placement Screening Form (Yellow Card) or a Preferential Hiring Form (Blue Card), you must submit the card before the closing date for this position. The Card may be submitted with the state application as an attachment.

As a V3 (Virginia Values Veterans) employer VDH Welcomes Veterans to apply!

Inclusion and Disability Process

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.