OPS FISCAL ASSISTANT I - 64858525 1

Ops Fiscal Assistant I

This position is three days a week. Open Competitive This position involves independent fiscal and billing duties. Responsibilities include medical and dental billings to appropriate parties: Medicaid, Medicare, Third Party and Dental. Posting payment to medical and dental accounts. Has computer access to the Health Management System (Hl,4S). Adheres to DOH-Hernando Confidentiality and Security policies and procedures. The incumbent is part of a global public health organization and is expected to support the Florida Department of Health in Hernando County in its mission to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts and its vision to be the Healthiest State in the Nation. Furthermore, the incumbent is expected to incorporate the agency values of Innovation, Collaboration, Accountability, Responsiveness and Excellence in all aspects of their work.

Serves as a back-up to create deposits for the bank as well as balance all deposits from all departments in both Spring Hill and Brooksville CHDs. Load deposits into the FLAIR system/FL Palm. Ensure all deposits are entered within 5 calendar days and take all deposits back to the departments that are out of balance. Scan in all checks and money orders in the proper deposit date. Once all paperwork received from the bank, scan the entire day's paperwork into the online system, ensuring we keep paper records in accordance with records retention policies. Any non-compliance will be listed on the weekly Outstanding Deposits Report issued by Central Office and will be rectified within 48 hours. Ensures all providers are added to the list and pertinent forms are filled out so that they can bill through the health department. Coordinates with the 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. Serves as a back-up responsible for reviewing medical 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 all Medicaid, Medicare, HMO's and other insurance claims for services rendered. Has shared responsibility of reviewing denials with reference to correct ID number, date of birth, other information, and resubmits claims for payments. Coordinates billing function to be sure all are done correctly and in a timely manner. Prepares Health Insurance Claims (HICA) forms for billings that cannot be transmitted electronically. Re-bills and forces claims for any charges not received. Keeps files on claims secure and files office copies of claims already paid for record and auditing purposes. Maintains a tracking system of 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. Serves as a back-up for receiving room, processing, opening, and distributing US mail and courier mail. Distribute daily mail. Takes mail to Post Office. Serves as back up to Chief Deputy Registrar. Duties include but are not limited to answering questions, preparing copies of birth and death certificates, reviews, inspects for errors, legibility, required signatures and signs Death, Fetal Death forms that are not completed in EDRS. Authorizes, certifies, and documents certificates for issuance. Responsible for making local file copies of original certificates, mailing original certificates to Office of Vital Statistics in Jacksonville. Files burial transit permits according to date of death. Confirms eligibility and issues birth certificates and death certificates using the e vitals system. Attends all meetings and mandatory trainings. Other related duties as required. Attends and participates in staff meetings, in-service, training seminars, and other professional and staff development activities.

Required Knowledge, Skills, and Abilities: Knowledge of the principles and techniques of effective communication. Knowledge of office procedures and practices. Knowledge of basic arithmetic. Ability to deal with the public in a tactful, courteous, and effective manner. Ability to speak clearly and correctly. Ability to listen effectively. Ability to record and evaluate data relating to applicant employment or assistance for health care or community services. Ability to understand and apply applicable rules, regulations, policies, and procedures relating to applicant employment, or assistance for health care or community services. Ability to review date for accuracy and completeness Ability to organize and maintain filing systems. Ability to perform basic arithmetical calculations. Ability to plan, organize and coordinate work assignments. Ability to communicate effectively. Ability to establish and maintain effective working relationships with others.

Qualifications: Minimum - Must have at least one year of experience in Data Entry. Preferred - Must have at least one year of experience in credentialing. Must have at least one year of experience in Accounts Receivable working with insurances.