ACCOUNTANT IV-HEALTH INSURANCE BILLING - 50556061 1

State of Florida

About The Position

Under the general supervision of the Billing Manager, the incumbent performs duties involving the independent application of revenue management skills, billing activities and other fiscal related matters. Performs financial and billing functions in the Health Information System, FLAIR, DDE, and various other payer associated portals and websites. 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 as follows: Produce and maintain 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. Review and monitor resident account information ensuring that account set-up and payor types have been correctly established by the facility, verifying insurance program eligibilities. Daily review and monitoring of account status. Posting of all payor payments. Work, correct, resolve, and collect accounts in the aging reports for Medicare, Medicaid, 3rd party insurance, and any other payor, including residents. Responsible for the collection of current and aging accounts. Maintain clean and up-to-date billing and collection reports. Compile and prepare reports to verify the accuracy of monies collected and deposited into resident & facility accounts. Analyze 3rd party and any other payor credit balances to ensure accurate accounting for refunds and the completion of the refund process. Monitor billing and collection reports of all facilities to ensure accurate and timely billing and collection of claims. Conduct billing-related Quality Assurance activities for all homes. Complete all the daily billing functions of any facility as instructed. Work directly with all payors on all resident reimbursement denials and file inquiries, reconsiderations, refunds and appeals to the appropriate agency or individual(s) for rejected claims. Perform other duties as directed in an efficient, professional, and timely manner.

Requirements

At least one (1) year of experience in medical billing (billing third-party health insurance) and processing electronic claims.
Experience in accounts receivables and collections.
Experience in reviewing and analyzing outstanding accounts receivables.
Excellent written and verbal communication - ability to communicate effectively in English: reading, writing, speaking, and understanding.
Excellent interpersonal skills.
Excellent skills in Microsoft Office Suite: Excel, Word and Outlook.
Successful completion of the due diligence process, to include a Level 2 Background screening.

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 (Long-term care).
Experience in Statewide Managed Care Medicaid program rules and regulations.
Experience in payment posting.

Responsibilities

Produce and maintain 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.
Review and monitor resident account information ensuring that account set-up and payor types have been correctly established by the facility, verifying insurance program eligibilities.
Daily review and monitoring of account status.
Posting of all payor payments.
Work, correct, resolve, and collect accounts in the aging reports for Medicare, Medicaid, 3rd party insurance, and any other payor, including residents.
Responsible for the collection of current and aging accounts.
Maintain clean and up-to-date billing and collection reports.
Compile and prepare reports to verify the accuracy of monies collected and deposited into resident & facility accounts.
Analyze 3rd party and any other payor credit balances to ensure accurate accounting for refunds and the completion of the refund process.
Monitor billing and collection reports of all facilities to ensure accurate and timely billing and collection of claims.
Conduct billing-related Quality Assurance activities for all homes.
Complete all the daily billing functions of any facility as instructed.
Work directly with all payors on all resident reimbursement denials and file inquiries, reconsiderations, refunds and appeals to the appropriate agency or individual(s) for rejected claims.
Perform other duties as directed in an efficient, 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 personal day.
Tuition waiver is available for State Universities and Community Colleges (up to six (6) credits per semester).

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