State of Florida
Location
Gainesville, FL | United States
Job description
Requisition No: 824426
Agency: Department of Health
Working Title: ACCOUNTANT I - 64004674
Pay Plan: Career Service
Position Number: 64004674
Salary: $32,760 -$36,400
Posting Closing Date: 03/12/2024
Total Compensation Estimator
FLORIDA DEPARTMENT OF HEALTH - OPEN COMPETITIVE OPPORTUNITY
Your Specific Responsibilities:
This is professional accounting work involving the maintenance of the Accounts Receivable, Billing, etc. for Alachua County Health Department. Incumbent ensures the accuracy of accounts receivable, completeness of information contained therein, prepares fiscal analyses, and financial statements on the same.
Responsible for reviewing medical records to ensure billing forms have Current Procedure Terminology (CPT) and International Classification of Disease (ICD-10) diagnosis codes for billing of same. responsible for submitting claims for reimbursement from all third party payers, including but not limited to Medicaid, Medicare, insurance companies, private and government payers, Health Maintenance Organizations (HMOs), and other sources; using the Health Management System (HMS).
Maintains a tracking system on all claims submitted to ensure payments are received within acceptable or contracted timeframes. Claims not paid in a timely manner are researched, second notices sent, and discussed with supervisor. Corrects denied claims and resubmits if necessary. Maintains current paperwork on all claims, showing all actions taken, and current claims statutes. Claims are submitted electronically whenever possible. Reconcile billing slips to claims generated by the HMS on an audit basis to ensure data accuracy.
Monitors for timely processing of claims resubmitting them as necessary to receive reimbursements in a timely manner. Resubmittals for denied claims and unprocessed claims are to be submitted within 3 months of the bill file creation date.
Keeps abreast of policy and procedure changes and updates in reference to Medicaid, Medicare, and any other payer sources.
Monitors all Medicare and Medicare HMO plans to include HEDIS measurements requirements and bills accordingly.
Performs related work as required. Backs up other billing staff and cashiers as needed.
Responsible for securing the designated information sets for purpose of protecting confidentiality , data integrity, and appropriate access for all information, both confidential and public record, which is stored in hard copy or electronic formats.
Required Knowledge, Skills, and Abilities:
• Strong customer service skills
• Ability to effectively deal with internal and external customers
• Working knowledge of computer systems
• Ability to communicate effectively both in person and in writing.
Qualifications:
Minimum – Must have at least one year of experience using computers and computer programs such as Word, Excel, or Medical Client databases.
Preferred - At least 6 months’ experience verifying Florida Medicaid, Medicare or third-party insurance coverage through FLMMIS, AVAILITY, or another electronic method preferred. A minimum of 6 months’ experience with medical billing processes in an electronic data base preferred. A minimum of 1 year experience with billing and ICD 10 coding preferred. A minimum of 6 months experience cashiering: collecting fees via cash, check and credit card transactions preferred.
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:
Alachua CHD,224 SE 24th St Gainesville, Fl 32641
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:
(For more information, please click );
For a more complete list of benefits, including monthly costs, visit .
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:
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.
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