SENIOR CLERK - 64004127

State of Florida; Saint Augustine (FL); On-site; USD 52,000 - 82,000; Full time

Benefits offered by this job

Annual and Sick Leave

Nine paid holidays and PersonalHoliday

Health/Group Insurance options

Retirement plan options

Job summary

The Florida Department of Health in St. Johns County (FDOH-SJC) is seeking an Operations & Management Consultant II – SES to support the Health Business Office.

The role works in the clinical services area and contributes to scheduling, registration, billing, and records processes. You will handle client registration, financial eligibility, billing, medical records, and ensure data privacy while collaborating with medical staff.

Qualifications

• Knowledge of administrative office procedures and practices (filing, records).
• Strong interpersonal communication skills.
• Proficiency with Microsoft Office and online systems.
• Ability to perform basic mathematical calculations.
• Ability to multitask and adapt to interruptions.
• Ability to handle confidential information professionally.
• Ability to schedule and coordinate appointments.

Responsibilities

• Register clients and verify demographic/insurance info in HMS.
• Conduct financial eligibility interviews to determine payer source.
• Bill services to clients, Medicaid or third-party insurers.
• Process end-of-day cash reports and balancing with fiscal office.
• Schedule follow-up appointments as directed by medical staff.
• Serve as receptionist for information, referrals, and appointments.
• Complete prior authorizations when required.
• Ensure documents are scanned and attached in the EHR.
• Maintain confidentiality and comply with security policies.
• Assist with PEWP program applications.

Skills

Administrative procedures

Interpersonal communication

Microsoft Office

Online systems

Basic math

Confidential information handling

Appointment scheduling

Tools

Health Management System (HMS)

Electronic Health Record (EHR)

Job description

The State Personnel System is an E-Verify employer.

The Florida Department of Health in St. Johns County (FDOH-SJC) is part of a statewide public health system.

Our Mission

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

Our Vision

To be the Healthiest State in the Nation.

Our Values

Innovation, Collaboration, Accountability, Responsiveness, Excellence (ICARE)

This position is under the direction of the Operations & Management Consultant II – SES (Health Business Office Supervisor), works in the clinical services area and is part of the Health Business Office that provides support for clinical services.

Scheduling, Registration, Check-In, Reception and Collection of Services

• Register, verify and update client demographic and insurance information in Health Management System (HMS).
• Performs client registration accurately and positively with client.
• Initiates records for new patients per established guidelines and procedures.
• Conducts financial eligibility interview to determine client payer source or sliding fee scale category.
• Bills services to clients, Medicaid or third-party insurance in the appropriate system.
• Processes end of the day credit card reports per established procedures, returns cash drawer with receipts and reports to fiscal office.
• Schedules follow-up appointments as indicated by medical staff.
• Serves as receptionist for incoming and outgoing calls for information, referral, appointments and/or re-routing.
• Serves as check-in receptionist for clients, information, appointments, and referrals.
• Serves as receptionist for confirmation of upcoming appointments.
• Completes prior authorization process as necessary.

Billing and Insurance

• Assists with billing of individuals and insurance companies for services performed.
• Handles collection of fees, copayments, deductibles and outstanding balances from clients according to established policy and procedures.
• Account for and documents fees collected according to established policy.

Medical Records

• Processes incoming and outgoing faxes per established procedures
• Ensures all necessary documents are scanned and correctly attached in the electronic health record for incoming and outgoing faxes and all clinical documents

Ensures the integrity/confidentiality of all data sets in the program; complies with the information security protocols and procedures (DOHP 50-10); security and privacy of client information is maintained; disclosure of confidential information is released only after proper authorization has been obtained; and information that is exempt from public record disclosure is maintained in a confidential manner.

Assists clients with the application and submission process for the Presumptive Eligibility for Pregnant Women (PEPW) program.

Performs other duties as required.

Required Knowledge, Skills, and Abilities

Knowledge, skills and abilities, including utilization of equipment, required for the position:

• Knowledge of administrative office procedures and practices that include managing files and records
• Skills in effective interpersonal communication
• Skills in utilizing online computer systems including Microsoft Office products
• Ability to perform basic mathematical calculations
• Ability to multitask, be flexible and work with unexpected interruptions
• Ability to handle restricted and confidential information in a professional manner and maintain the information as such
• Ability to gather information to determine appointment needs and make appropriate appointments
• Ability to work with the public in a tactful and courteous manner.
• Ability to establish and maintain effective working relationships with others

Qualifications

Other job-related requirements for this position: Must be physically able to lift up to 20 lbs., bending, stooping or squatting. Incumbent may be required to work before, during and/or beyond normal work hours or days in the event of an emergency. Emergency duty required of the incumbent includes working in special needs or Red Cross shelters, or performing other emergency duties including, but not limited to, responses to or threats involving any disaster or threat of disaster, man-made or natural.

Working hours: (A) Daily from 8:00 to5:00 (B) Total hours in workweek 40 (C) Explain any variation in work (split shift, rotation, etc.) This position requires daily in-office or field work.

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 the Healthiest State in the Nation.

Values:

Inovation: 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

ST. Johns County Health Department

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.

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.

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.