ACCOUNTANT IV-HEALTH INSURANCE BILLING - 50950010

State of Florida • FL

83d • $42,034

About The Position

The Accountant IV incumbent is responsible for performing claims processing, posting payments and collection activities of the State Veterans’ Homes and providing support and assistance to all billing team members in the daily accounts receivable functions to maintain the billing. This includes producing and maintaining monthly billing for all Medicare A&B, Medicaid, and Medicaid Managed Care, 3rd party commercial insurers, and any other payor, including residents for the State Veterans’ Homes. The position involves reviewing and monitoring resident account information, ensuring that account set-up and payor types have been correctly established by the facility, and verifying insurance program eligibilities. The incumbent will also be responsible for daily review and monitoring of account status, posting of all payor payments, and working to correct, resolve, and collect accounts in the aging reports for various payors. Additionally, the role includes maintaining clean and up-to-date billing and collection reports, compiling and preparing reports to verify the accuracy of monies collected, and conducting billing-related Quality Assurance activities for all homes.

Requirements

• One year experience in third party health insurance claims, medical billing, and collections.
• Excellent written and verbal communication and interpersonal skills.
• Successful completion of the due diligence process, including a Level 2 Background screening.

Nice To Haves

• Experience in Statewide Managed Care Medicaid program rules and regulations.
• Experience in reviewing and analyzing outstanding accounts receivables.
• Excellent skills in Microsoft Office Suite: Excel, Word, and Outlook.

Responsibilities

• Perform claims processing, posting payments, and collection activities for State Veterans’ Homes.
• Produce and maintain monthly billing for Medicare A&B, Medicaid, and other payors.
• Review and monitor resident account information and verify insurance program eligibilities.
• Daily review and monitoring of account status.
• Post all payor payments.
• Work, correct, resolve, and collect accounts in aging reports.
• Maintain clean and up-to-date billing and collection reports.
• Compile and prepare reports to verify accuracy of collected monies.
• Analyze 3rd party and other payor credit balances.
• Monitor billing and collection reports for accurate and timely claims.
• Conduct billing-related Quality Assurance activities.
• Complete daily billing functions as instructed.
• Work directly with payors on resident reimbursement denials and claims inquiries.

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 paid holidays and personal day.
• Tuition waiver available for State Universities and Community Colleges (up to six credits per semester).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees