OPS FINANCIAL COUNSELOR - 64858399

My Florida Families; Florida; On-site; USD 22,000 - 30,000; Full time

Benefits offered by this job

State 401(a) plan

State group insurance

Workers’ Compensation

Reemployment Assistance

Job summary

Florida Department of Health is seeking an in-office OPS Financial Counselor to support patient billing, eligibility verification, and revenue collection. You will enter data, explain fee structures, and verify Medicaid authorizations while maintaining strict confidentiality.

The role requires strong administrative skills, proficiency with Microsoft Office, and the ability to assist clients and staff in a fast-paced health office environment.

Qualifications

• Ability to enter data in a computer accurately and timely.
• Ability to follow verbal and written instructions.
• Knowledge of Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel.
• Ability to answer calls, direct callers to appropriate personnel, schedule appointments, sign for incoming packages and assist clients and visitors.
• Ability to organize and maintain confidential and sensitive materials.
• Ability to communicate effectively and work well with others.
• Ability to establish and maintain effective working relationships with others.
• Experience using computer software in an office setting.

Responsibilities

• Registers and maintains client records in HMS system and electronic records in dental software with accuracy and compliance.
• Research client demographic information and update records for each visit.
• Interview and verify eligibility for client services.
• Educate clients on fee schedules and Medicaid reimbursement processes.
• Verify authorizations for Medicaid reimbursement and determine financial eligibility.

Skills

Data entry

Verbal & written instructions

MS Office

Call handling

Confidentiality

Communication

Interpersonal skills

Office software

Job description

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

Requisition No:885123

Agency: Department of Health

Working Title: OPS FINANCIAL COUNSELOR - 64858399

Promotes "patient first" at all times by providing excellent customer service. Emphasis placed on all incoming calls to be answered promptly and courteously at all times. Effectively listening skills and knowledge of how to handle any customer complaints and how to address their concerns is of the utmost importance. Understanding of the process for securing translation assistance for clients or provide translation if bilingual. Primary duties are as follows: answer telephone, schedule and rescheduling clients’ appointments while verifying payer source. Explain the no show policy if client missed appointments. Monitors the schedule to ensure the patient wait time is minimized whenever possible and attempt to fill appointments available on the schedule. Medicaid HMO or third-party insurance billing recent experience a plus. This is a full-time, in-office position

• Registers and maintains client records in HMS system and Electronic Records in the dental software with accuracy and within compliance. Research client demographic information and updates their information for each visit. Interviews and verifies eligibility requirements for client services. Educate clients on how all established and calculated fee schedules are computed. Verifies authorizations for Medicaid reimbursement. Determine financial eligibility and collect payments. Documents all client’s third-party insurance into the financial data file; maximizing revenue collections. All data reviewed for accuracy and completeness. Organizes and maintains records, filing systems and inventories.
• Adheres to all administrative and clerical policies and procedures set forth within the department. Knowledge of EARS, HMS, Microsoft Office: Word, Email, People First System and TRAIN. Trains other employees as needed. Completes all reports: employee activity records, timesheets, and all required reports according to policy and procedure within their required timeframe. Must possess the ability to be able to prioritize work assignments.
• Calculates and verifies daily/monthly reports for Business Office/Administration. Maintains HIPAA and client confidentiality and security of medical records in accordance with SLCHD Security Procedure 13, 1.B. Level 2: “Clinical Confidentiality”.
• Operates photocopying machines, calculators, scanners, computer, printers, and any other related equipment within stated guidelines.
• Performs related work as required. Submits travels, invoices or receives in MFMP in accordance to FS 215.422 prompt payment statute.
• Work as a team and assist clients to check in for dental appointments or any general public inquiries in a courteous manner.
• Maintains organization and time management.
• Communicates clearly and effectively.
• Provides administrative support to ensure efficient office operations.
• Accurately enters/scans patient information into the approved electronic health record and HMS.
• Travel to all clinics as requested.
• Process services and collect payments.
• Verifies insurance eligibility.
• Compliance with security procedure guidelines.

Maintains client confidentiality and security in accordance DOHP50-10-10 Information Security & Privacy Policy Confidential Information.

Required Knowledge, Skills, and Abilities:

• Ability to enter data in a computer accurately and timely.
• Ability to follow verbal and written instructions.
• Knowledge of Microsoft Office applications, including but not limited to Outlook, Word, PowerPoint, and Excel.
• Ability to answer calls, direct callers to appropriate personnel, schedule appointments, sign for incoming packages and assist clients and visitors.
• Ability to organize and maintain confidential and sensitive materials.
• Ability to communicate effectively and work well with others.
• Ability to establish and maintain effective working relationships with others.
• Experience using computer software in an office setting.

Qualifications:

Minimum:

Preferred:

• Experience working in a dental/medical front office.

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:

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. As an OPS employee, the benefits below are available:

• State of Florida 401(a) FICA Alternative Plan (mandatory)
• Participation in state group insurance (upon meeting eligibility requirements. Consult with People First and/or the serving HR office)
• Workers’ Compensation (mandatory, if needed)
• Reemployment Assistance (Unemployment Compensation) (mandatory, if needed)

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.

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.

Location:

FORT PIERCE, FL, US, 32982 FORT PIERCE, FL, US, 34945 FORT PIERCE, FL, US, 34946 FORT PIERCE, FL, US, 34947 FORT PIERCE, FL, US, 34949 FORT PIERCE, FL, US, 34950 FORT PIERCE, FL, US, 34951 FORT PIERCE, FL, US, 34981 FORT PIERCE, FL, US, 34982 PORT SAINT LUCIE, FL, US, 34984 PORT SAINT LUCIE, FL, US, 34987

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