ACCOUNTANT I

Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: The State Personnel System is an E-Verify employer. For more information click on ourE-Verify Website . Requisition No:883235 Agency: Department of Health Working Title: ACCOUNTANT I - 64003398 Position Number:64003398 Salary: $34,800.00 to $38,500.00 annually This is an Internal Agency 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 through third party payers (Medicaid, Medicaid Managed Care, Medicare, private insurance companies/organization, etc.) for personal healthcare and dental services provided by qualified staff of the Florida Department of Health in Bay County (DOH Bay) (or other County Health Departments contracted with 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. The incumbent in this position is responsible for the integrity and confidentiality of data sets under their control. Ensures third party payments are accurately posted to the applicable client’s account within the Health Management Systems (HMS) and denied claims are researched and resubmitted within 30 days of when denial is received per DOH Accounts Receivable Policy, DOH 56-66-17. Works independently (and in conjunction with 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, Agency for Health Care Administration (AHCA) complaints, etc. Processes both electronic and manual third-party claims for personal healthcare and dental services provided by the DOH 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 being followed. This also includes auditing services to include retro Medicaid billing. Keeps the Account Receivables 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, send to collections, and/or waiver criteria, initiates documentation for the DOH approval and processes through HMS monthly. Ensures client statements are printed and mailed monthly to clients who have an outstanding balance owed to the DOH contracted Billing Hub counties. Maintains effective working relationships with the DOH contracted Billing Hub counties through constant communication using email, 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 DOH. Performs other related duties as assigned. 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: Must have a current and valid driver’s license 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 theHealthiestState 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: 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 ); 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 on the date of your retirement. The successful candidate will be required to complete the #J-18808-Ljbffr