ACCOUNTANT SUPERVISOR II - SES - 64006196 1 1

State of Florida • Brooksville, FL

1d • Onsite

About The Position

This position serves as the Supervisor of Regional Billing Staff and assists the Finance & Accounting Administrator with duties involving the independent application of accounting skills to the general accounting of the Hernando County Health Department funds. The role involves establishing Hernando as a billing hub by negotiating agreements, developing staffing patterns, and monitoring productivity. It also acts as a liaison for the Credentialing team, maintaining provider records and ensuring billing credentialing is updated. The position is responsible for reviewing medical billing records, processing claims, coordinating billing functions, and transmitting claims electronically. Additionally, it ensures all Accounts Receivable are up to date, monitors the Health Management System, prepares monthly client statements, and reconciles payments. The role also involves staying updated on departmental policies, preparing monthly reports, acting as backup for p-card and accounts payable transactions, and assisting with budget preparation and monitoring. A key aspect is reviewing and completing coding for Purchasing Card charges and coordinating with auditors. The position requires attending meetings and performing other related duties as assigned.

Requirements

• FLAIR, FIS, FIRS, MFMP/AOD, WORKS and HMS.
• Knowledge of State of Florida Accounting and Purchasing laws, policies and procedures.
• Must be able to develop and provide training.
• Two years of validated experience for billing in a medical setting.

Nice To Haves

• Possess a certification as a billing and or coding specialist.

Responsibilities

• Supervising employees, including communicating, motivating, training, and evaluating them.
• Planning and directing employee work, with the authority to hire, transfer, suspend, lay off, recall, promote, discharge, assign, reward, or discipline subordinate employees or effectively recommend such action.
• Developing performance expectations, meeting with staff regularly to discuss performance, completing performance reviews, and maintaining vacation and work schedules.
• Completing timesheets and ensuring proper coverage.
• Serving as the Supervisor of Regional Billing Staff and assistant/back-up to the Finance & Accounting Administrator.
• Establishing Hernando as a billing hub by negotiating agreements, developing a staffing pattern, and monitoring productivity.
• Serving as liaison to CHDs within Hernando’s billing region, providing monthly reports of A/R, detailed analysis of claims, and problem-solving issues.
• Acting as a liaison for the Hernando Billing Hub Credentialing team, maintaining records of providers (Medicaid, Medicare, UPIN, license, DEA numbers), and ensuring new providers are added and forms are completed for billing.
• Coordinating with the credentialing team to ensure billing credentialing for providers is kept updated and submitting enrollment packets to insurance companies within proper timelines.
• Reviewing medical billing records to ensure billing forms have CPT and ICD diagnosis codes.
• Communicating with clerks, clerical supervisors, and providers regarding CPT, Diagnostics, and HMS Codes.
• Processing Medicaid, Medicare, HMOs, and other insurance claims.
• Reviewing denials, resubmitting claims for payment, and ensuring all billing functions are done correctly and in a timely manner.
• Transmitting claims electronically (at minimum weekly) for the entire regional billing hub.
• Preparing HCFA forms for billings that cannot be transmitted electronically.
• Re-billing and forcing claims for any charges not received.
• Keeping files on claims and office copies of paid claims for record and auditing purposes.
• Maintaining a tracking system on all claims submitted to ensure payments are received within acceptable or contracted timeframes.
• Attending meetings and trainings pertinent to Insurance (Medicaid, Medicare, third-party insurers).
• Ensuring all Accounts Receivable for the entire regional billing hub are up to date.
• Monitoring Accounts Receivable in the Health Management System, preparing, researching, and correcting discrepancies, and maintaining supporting documentation.
• Sharing responsibility for sending monthly client statements.
• Complying with Accounting Procedure Manual, 21APM29, Accounts Receivable, Collections/Write-Off Policy.
• Receiving payments for accounts receivable, reconciling payments against billing/claim forms, and ensuring correctness and completeness of payments.
• Posting payments to receivable accounts in the Health Management System.
• Following up on any claims not paid in full for resubmission.
• Maintaining a tracking system to ensure timely collections of accounts receivable.
• Keeping up to date on Department, Division of Administration, policy and procedures related to DOH-Hernando budget procedures.
• Responsible for monthly reporting in Active Strategy QI software for Hernando A/R statistics and billing hub statistics and action plans.
• Completing a monthly summary for Finance & Accounting Administrator and Health Officer reviewing billing and A/R status for all counties in the billing hub.
• Acting as back up for p-card and encumbered accounts payable transactions and ensuring compliance with the 10-day time limit for submission to Central office.
• Assisting in the preparation and monitoring of the annual budget.
• Reviewing and completing coding for Purchasing Card charges in WORKS.
• Coordinating with auditors and staff members in the resolution of problems and questions to process payments.
• Reviewing transactions entered into WORKS for documentation, coding forms, etc., for audit purposes.
• Attending meetings, workshops, and conferences regarding budget matters and assigned programs and other professional and staff development activities.
• Performing other related duties as required and or assigned.

Benefits

• Annual and Sick Leave benefits
• Nine paid holidays and one Personal Holiday each year
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options
• Retirement plan options, including employer contributions
• Flexible Spending Accounts
• Tuition waivers

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed