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FISCAL ASSISTANT II - 64030108

Date:  Jan 15, 2023
Location: 

PANAMA CITY, FL, US, 32401


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

Requisition No: 786462 

Agency: Department of Health

Working Title: FISCAL ASSISTANT II - 64030108

Position Number: 64030108 

Salary:  $31,200.00 annually 

Posting Closing Date: 02/13/2023 

This is an external advertisement

 

Your Specific Responsibilities:

This position performs a variety of complex support functions which require substantial technical, financial, administrative and operational knowledge of accounting practices for the Florida Department of Health’s Medical and Dental programs.  The duties of this full-time position will be dedicated to maximizing local accounts receivables thru third party payers (Medicaid, Medicaid Managed Care, Medicare, Private Insurance Companies, Organizations, etc) for personal healthcare and dental services provided by qualified staff of the Florida Department of Health in Bay County (or other County Health Departments contracted with the Bay County Billing Hub).  The incumbent in this position will come to work and exhibit an attitude of friendliness and eager customer service towards all clients and act respectfully and courteously to fellow employees and clients to provide excellent customer service.  The incumbent in this position is responsible for the integrity and confidentiality of data sets under his/her control.

Processes both electronic and manual third party claims for personal healthcare and dental services provided by the FDOH contracted billing hub counties. This includes verifying client’s Medicaid, Medicaid Managed Care, Medicare, or any other Third Party Liability coverage, verifying client’s medical services are correctly coded (both CPT and ICD 10), correcting and rebilling any errors discovered, and verifying that correct billing practices are followed. This also includes auditing services to include retro Medicaid billing.

Ensures third party payments are accurately posted to the applicable client’s account within the Health Management System (HMS) and denied claims are researched and resubmitted within 30 days of the date denial is received per FDOH Accounts Receivable Policy (DOH 56-66-17).  Works independently (and in conjunction with your immediate Supervisor as needed) to solve billing problems by evaluating and researching using available tools and information  to determine resolution of the claim to include crossover claims, corrected claims, appealed claims, AHCA complaints, etc.

Keeps the Accounts Receivable aging reports current.  This requires direct face to face contact, computer contact and telephone contact with Medicaid, Medicaid Managed Care, Medicare, or any other Third Party Liability Company representatives to determine status of unpaid claims. Verifies and processes accounts that may meet the write off, sent to collections and/or waiver criteria, initiates documentation for the CHD approval and processes through HMS on a monthly basis..

Maintains effective working relationship with the FDOH contracted billing hub counties through constant communication using e-mail, conference calls, telephone, fax, scanning, etc. 

Assists in completing provider credentialing and re-credentialing applications; may monitor applications and follows up as needed.  Maintains current and accurate data for all assigned providers. 

Prepares statistical reports as needed.  Report may include number of third party reimbursement claims by vendor, amount filed, amount received, number and amount of denied claims by vendor, reasons for denial, number of denied claims resubmitted for payment, number of client write-off accounts and amounts, number of accounts sent to state collection agency.  Prepares trend reports as described above beginning July 1 of current fiscal year and concurrently thereafter. Assists internal clients with HMS billing reports as needed.  Analyzes statewide revenue reports to assist in determining appropriate action plans to increase revenue collected by the FDOH.

Assists in ensuring that client statements are printed and mailed monthly to clients who have an outstanding balance owed to the FDOH contracted billing hub counties.

Ensures client statements are printed and mailed monthly to clients who have an outstanding balance owed to the FDOH contracted billing hub counties.

Performs other related duties as assigned by the supervisor in an efficient and timely manner

Required Knowledge, Skills, and Abilities:

Knowledge and experience with medical billing procedures.

Knowledge and experience understanding basic medical terminology.

Ability to review and input data with 100% accuracy.

Ability to use and learn varied computer programs to include HMS, Availity, FLMMIS, Microsoft Office..

Ability to work independently with a sense of urgency to meet deadlines.

Skills required:  Attention to detail, time management, initiative, problem solving.

Qualifications:

 

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:

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:

Panama City, Florida

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.

 

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. 


Nearest Major Market: Panama City