ACCOUNTANT SUPERVISOR II - SES - 64006196 1 1 1

Accountant Supervisor II - Ses

This position spends a majority of the time engaged in supervisory responsibilities. This includes communicating with, motivating, training, and evaluating employees in addition to planning and directing employees' work. The incumbent has the authority to hire, transfer, suspend, lay off, recall, promote, discharge, assign, reward, or discipline subordinate employees or effectively recommend such action. The incumbent will also be required to develop performance expectations, meet with staff regularly to discuss performance, complete performance reviews, maintain vacation and work schedules, ensuring proper coverage, and complete timesheets. This is professional accounting work serving as the Supervisor of Regional Billing Staff and as the assistant and/or back-up to the Finance & Accounting Administrator performing duties involving independent application of accounting skills to the general accounting of the Hernando County Health Department funds. Establishes Hernando as a billing hub by negotiating agreements, developing a staffing pattern, and monitoring productivity in accordance with State of Florida A/R policy. Will continue to serve as liaison to CHDs within Hernando's billing region by providing monthly reports of A/R, detailed analysis of claims, and works to problem solve any issues as they rise. Acts as a liaison for Hernando Billing Hub Credentialing team. Shares the responsibility of maintaining records of all providers Medicaid, Medicare, Unique Physician Identifier Number (UPIN), license and Drug Enforcement Administration (DEA) numbers and being sure all new providers are added to the list and pertinent forms are filled out so that they can bill through the health department. Coordinates with credentialing team to ensure billing credentialing for providers is kept updated and submits enrollment packets to insurance companies within proper timelines of receiving pertinent information. Responsible for reviewing medical billing records to ensure billing forms have Current Procedure Terminology (CPT) and International Classification of Disease (ICD) diagnosis codes for billing of same. Independently communicates with clerks, clerical supervisors, and providers upon the review of CPT, Diagnostics and HMS Codes. Processes Medicaid, Medicare, HMOs, and other insurance claims for services rendered. Has responsibility of reviewing denials with reference to correct ID number, date of birth and other information and resubmits claim for payment. Coordinates billing function to be sure all are done correctly and in a timely manner. Transmits claims electronically (at minimum weekly) for the entire regional billing hub. Prepares HCFA forms for billings that cannot be transmitted electronically. Re-bills and forces claim for any charges not received. Keeps files on claims and files office copies of claims already paid for record and auditing purposes. Maintains a tracking system on all claims submitted to ensure payments are received within acceptable or contracted timeframes. Attends all meetings and trainings pertinent to Insurance which may include Medicaid, Medicare, and third-party insurers. Ensures all Accounts Receivable for the entire regional billing hub are up to date including Medicaid, Medicare, private payers, etc. Monitors the Accounts Receivable in the Health Management System, prepares and researches and corrects any and all discrepancies in the Accounts Receivable maintaining all supporting documentation. Shares the responsibility of sending monthly client statements. Complies with Accounting Procedure Manual, 21APM29, Accounts Receivable, Collections/Write-Off Policy. Receives payments for accounts receivable, reconciles payments against billing/claim forms ensures correctness and completeness of payments. Payments are posted to receivable accounts in the Health Management System. Any claims not paid in full are noted and followed up for resubmission. Maintains a tracking system to ensure timely collections of accounts receivable. Keeps up to date on Department, Division of Administration, policy and procedures as they relate to DOH-Hernando budget procedures. Is responsible for monthly reporting in Active Strategy QI software for Hernando A/R statistics as well as billing hub statistics and action plans. Completes a monthly summary for Finance & Accounting Administrator and Health Officer which reviews billing and A/R status for all counties in billing hub. Acts as back up for p-card and encumbered accounts payable transactions and ensures they comply with 10-day time limit for submission to Central office. Assists in the preparation and monitoring of the annual budget. Reviews and completes coding for Purchasing Card charges in WORKS, coordinates with auditors and staff members in the resolution of problems and questions to process payments. Reviews transactions entered into WORKS for documentation, coding forms, etc. for audit purposes. Attends meetings, workshops and conferences regarding budget matters and assigned programs and other professional and staff development activities. Performs other related duties as required and or assigned.

Required Knowledge, Skills, and Abilities: FLAIR, FIS, FIRS, MFMP/AOD, WORKS and HMS. Knowledge of State of Florida Accounting and Purchasing laws, policies and procedures. Must be able to develop and provide training.

Qualifications: Minimum Two years of validated experience for billing in a medical setting. Preferred Possess a certification as a billing and or coding specialist.

Location: Spring Hill, FL, US, 34606 Brooksville, FL, US, 34601