Requisition No: 851286 

Agency: Department of Health

Working Title: FISCAL ASSISTANT I - 64051958

 Pay Plan: Career Service

Position Number: 64051958 

Salary:  34,840.00 yearly 

Posting Closing Date: 04/22/2025 

Total Compensation Estimator Tool

OPEN COMPETITIVE

Your Specific Responsibilities:

Cashier duties include audits, analyzes, and reviews superbills for verification of all insurance information; makes the necessary determination as to the correct insurance, and processes all client services. Processes payments according to the Accounts Receivable Policy timelines.  Responsible for collaborating with other departments, if necessary. Reviews clinical EHR for snomed HMC and ICD-10 codes for accuracy. Develop training documents which includes snomed, modifier, CPT, ICD-10 and HMC codes for billing staff. Process refunds to clients when needed.

Determines client’s eligibility for a variety of State and Federal programs. Programs to include but not limited to: Medicaid for pregnant women (PEPW), Healthy Start, Florida Breast and cervical early detection program FBCCEP, Family planning, Sexual transmitted Infection, Prep, Tb, Insulin, Epilepsy and Refugee Health. Interview clients determine economic indigence and type services needs based on Federal poverty level guidelines. Assess the financial status of applicants by verifying income updating in HMS financial screen, to calculate cost of visit. Verifies and updates client demographics. Creates/ updates progress notes on client’s status. Makes proper referral to various related community and service agencies for assistance. Develop training documents (cheat sheets) for position. Reviews and bills Refugee in-house service records weekly. Reviews PEPW log, verifies if client has applied for ongoing Medicaid benefits weekly through Florida system. Calls clients to follow-up on Medicaid cases. Closes Medicaid cases for pregnant clients. Determine and enrolls pregnant clients in Healthy start funding for prenatal care.

Reviews PEPW log, verifies if client has applied for ongoing Medicaid benefits weekly through Florida system. Calls clients to follow-up on Medicaid cases. Closes Medicaid cases for pregnant clients. Enrolls pregnant clients in Healthy start funding for prenatal care.

Contacts clients for Women’s Health clinics and Sexual transmitted disease clinics for reminder appointments. Also instructs clients on necessary documents to provide proof of income for financial eligibility determination needed at their appointment to determine clients sliding fee. Answers telephone and transfers to appropriate department as needed.

This position is a clerical support position that is responsible for client processing and assisting the assigned clinical team.  Including but not limited to: Greets and registers new and existing clients.  Updates client demographic data each visit using HMS system. Verifies payment source each visit to include; Medicaid with FMMIS system, appropriate economic evaluation or Insurance.  Counsels’ client on HIPAA, information release forms for billing purposes and release of medical information, consent for care and contact information.  Triage incoming calls and/or clients as necessary. Requests photo ID and retains a copy in the medical record

Prepares clients’ medical records for the clinic visit to include, verify clients’ demographic information and payor source for each visit, scanning all documentation in appropriate section of client electronic record (Attached Documents/Clinical Documents). Accurately date super bill and encounter forms, ensure clients’ financial eligibility status and program code are annotated on the super bill, refer clients to the financial counselor as appropriate. Secure appropriate forms and test results in the medical record specific for each clinic visit.  Ensure forms are organized and labeled for clinic use.

Must be Bilingual Spanish-Speaking.

Required Knowledge, Skills, and Abilities:

Ability to multi-task, FLMMIS, HMS, communication skills, and conduct in-depth interviews for program eligibility. A high school diploma or its equivalent, at least one year of experience working in a clerical setting, medical records, billing/coding and medical office experience preferred.  Knowledge of medical terminology, at least one year of experience working with computers – Microsoft Office preferred.  Must be able to lift 20 pounds of medical records.

Qualifications:

Minimum –

One year of medical or dental clerical experience.

Knowledge of determining financial eligibility.

Knowledge of processing medical or dental claims.

Knowledge of working medical or dental claims for appeals and denials.

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:

I nnovation: We search for creative solutions and manage resources wisely.

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

A ccountability: We perform with integrity & respect.

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

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

Where You Will Work:

301 Dr. Carter Blvd.

Bunnell, Florida 32110

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

(For more information, please click www.myfrs.com);

• Flexible Spending Accounts;
• Tuition waivers;
• And more!

For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.

Please be advised:

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.    

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

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.