ACCOUNTANT I

Accountant I - 64058864

The incumbent is part of a global public health organization and is expected to support the Florida Department of Health in Pasco 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. Responsible for reviewing unbilled services. Audits all billings to insurance companies for accuracy and completeness, including CPT codes, diagnosis codes, billing provider, pay source, and other required elements. Creates bill files and reviews all bill file reports. Generates claim twice per week. Places Local Billing and BCC (Breast & Cervical Cancer Early Detection Program) HCFAs in the shared folder and uploads the BCC reconciliation report. Validates claim acceptance in CHC, the Medicaid portal, and/or mails claims when required. Make necessary corrections to failed or rejected claims and notify the Pasco Supervisor of identified errors. Handles payment processing, including contacting insurance companies regarding payment discrepancies, incorrect payment amounts, recoupments, interest payments, and billing secondary payors. Processes denials and claim resubmissions. Reviews EOB denials, contacts insurance companies, submits disputes/appeals, corrects and resubmits claims, and bills secondary payors as needed. Follows up on aged claims not yet adjudicated by insurance companies. Generates monthly write-off and collections reports. Audits for accurate billing, rabies immunizations, and retroactive Medicaid coverage. After Pasco approval, processes write-offs and collections in HMS (Health Management Systems). Generate patient statements. Audits statements for correct charges, addresses, and payor assignments for minors. Ensure that services exempt from statement generation, such as Parent Aware FP minors with an open balance are manually generated when necessary. Creates and monitors other required reports, including Delinquent Accounts Receivable Reports and Accounts Receivable Reporting Policy reports (DOHP 4-A1-3). Ensure staff receive appropriate training. Answers clinic billing questions and prepares, updates, and maintains instructional and reference materials for the clinic. Reconciles HMS services for self-pay clients at least every 15 business days using the Reconciliation Report. Responsible for completing applicable error reports. Tracks payments for local billings. Invoices once per month by the 7th and tracks payments at least once per month. Processes over-the-phone payments in HMS and processes insurance credit card payments. Performs fee schedule maintenance and price updates. Ensures HMS services are programmed correctly with CPT, PC, and HMC codes. Serves as backup for setting up new agreements/vouchers, generating delete reports, completing Medicaid pending application and adjustment reports, entering new insurances, and inactivating obsolete insurances in HMS. Reconciles Nutrition invoices and tracks payments. Provides backup assistance to the clinic with preparing refund applications and managing dishonored payments. Performs other duties as needed.

Required Knowledge, Skills, and Abilities: This position may require reaching, bending, stretching, twisting and stooping. Knowledge of accounting principles, practices and procedures. Knowledge of the methods of data collection. Ability to prepare financial statements and reports. Ability to design and implement accounting systems. Ability to prepare and maintain a variety of accounting records. Ability to analyze and interpret accounting data. Ability to understand and apply applicable rules, regulations, policies and procedures relating to an accounting program. Ability to plan, organize and coordinate work assignments. Ability to communicate effectively. Ability to establish and maintain effective working relationships with others. Ability to utilize problem-solving techniques.

Qualifications: Minimum - Valid Drivers License. Reliable Transportation. Preferred - Associate degree in Accounting, Finance, or Business.

Location: Hudson, FL, US, 34667