ACCOUNTANT III-HEALTH INSURANCE BILLING - 50000010 1

State of Florida

4d•$39,305

About The Position

Under the general supervision of the Billing Department Supervisor, incumbent performs duties involving applications of accounting skills, billing activities and coordination of other fiscal related matters. Performs billing functions in the Health Information System and to other Accounts Receivable billing software systems. Perform third party claims processing and collection activities for all payors of the State Veterans’ Homes. Perform daily account receivables functions to maintain the billing. Process monthly billing for all Medicare A&B, Medicaid, Medicaid Managed Care, Third Party Insurers, and any other payer for the State Veterans’ Homes. Review and monitor resident accounts ensuring that the account set up and payer types have been correctly established by the facility. Verify insurance eligibility. Review and monitor accounts on a daily basis to facilitate timely collections with exception. Maintain detailed activity notes in each resident’s account. Work to correct, resolve and collect on all accounts in the ageing reports for all payers. Maintain a clean claim billing average within timely filing guidelines. Compile and prepare reports to verify the accuracy of monies collected and deposited into resident and facility accounts. Provide cross-coverage within the Billing Department as needed. File all inquiries including but not limited to reconsiderations, appeals, patient liability amounts, eligibility, and clerical re-openings. Monitor all payment allocations and reconciliations in the Health Information System. Maintain positive working relationships with staff in assigned Homes. Provide ongoing feedback to Billing Department Manager related to process improvement for billing unit practices assisting in the development of new billing procedures. Perform other related duties as directed by the Health Operations Manager and Billing Department Manager in an effective, professional, and timely manner.

Requirements

Experience in accounts receivables and collections.
Excellent communication and interpersonal skills.
Ability to work independently and within a team environment.
Basic knowledge or experience in healthcare billable services.
Excellent computer skills including Microsoft Office Suite.
Ability to communicate effectively in English: reading, writing, speaking, and understanding.
Successful completion of a Level II Background Screening and due diligence process.

Nice To Haves

Familiarity with Basic Accounting Functions and Generally Accepted Accounting Practices.
Experience in State of Florida Accounting Systems
Experience in Nursing Home Health Insurance Billing

Responsibilities

Perform third party claims processing and collection activities for all payors of the State Veterans’ Homes.
Perform daily account receivables functions to maintain the billing.
Process monthly billing for all Medicare A&B, Medicaid, Medicaid Managed Care, Third Party Insurers, and any other payer for the State Veterans’ Homes.
Review and monitor resident accounts ensuring that the account set up and payer types have been correctly established by the facility.
Verify insurance eligibility.
Review and monitor accounts on a daily basis to facilitate timely collections with exception.
Maintain detailed activity notes in each resident’s account.
Work to correct, resolve and collect on all accounts in the ageing reports for all payers.
Maintain a clean claim billing average within timely filing guidelines.
Compile and prepare reports to verify the accuracy of monies collected and deposited into resident and facility accounts.
Provide cross-coverage within the Billing Department as needed.
File all inquiries including but not limited to reconsiderations, appeals, patient liability amounts, eligibility, and clerical re-openings.
Monitor all payment allocations and reconciliations in the Health Information System.
Maintain positive working relationships with staff in assigned Homes.
Provide ongoing feedback to Billing Department Manager related to process improvement for billing unit practices assisting in the development of new billing procedures.
Perform other related duties as directed by the Health Operations Manager and Billing Department Manager in an effective, professional, and timely manner.

Benefits

Excellent retirement package and optional deferred compensation plan.
Health, vision, dental, ‎disability, and other supplemental insurance available at reasonable premium rates.
Paid vacation and ‎sick leave.
Nine (9) paid holidays and a personal day.
Tuition waiver available for State Universities and ‎Community Colleges (up to 6 credits per semester).

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