Ambulance Accounting Analyst

Pinellas County Government • Largo, FL

8d • Onsite

About The Position

This position involves highly complex medical billing, accounting, financial, and analytical work, performing a variety of specialized duties related to an ambulance billing revenue cycle. The position reports to a manager or supervisor within the Financial Services Division of the Safety and Emergency Services Department. MUST BE ABLE TO PASS AND MAINTAIN A LEVEL 2 CJIS BACKGROUND CLEARANCE.

Requirements

• Accounting, accounts receivable, or financial reconciliation, preferably in a medical billing environment, that includes conducting data analysis, reconciling accounts, resolving complex billing issues, and practical use of computer equipment.
• Six (6) years of experience as described above; or
• An Associate’s degree and 4 years of experience as described above; or
• A Bachelor’s degree and 2 years of experience as described above; or
• A Master’s or higher-level degree and some experience as described above; or
• An equivalent combination of education, training, and/or experience.
• Assignment to work a variety of work schedules including compulsory work periods in special, emergency, and/or disaster situations.
• Must be able to pass and maintain a Level 2 CJIS background clearance.

Responsibilities

• Reconcile daily cash receipts, lockbox, credit card, and electronic remittance (ERA/EFT) postings to bank deposits and the billing system; research and clear variances and unapplied balances.
• Examine, reconcile, and properly apply claim remittances, Explanations of Benefits, bank statements, and invoices to patient accounts, maintaining a complete audit trail for each transaction.
• Research unidentified and misapplied funds to determine the correct account attribution and prepare the corresponding correcting entries and adjustments.
• Process and document refunds, offsets, adjustments, and write-offs, including determining the entity to whom a refund is due in overpayment situations and ensuring approvals and supporting records meet County and audit requirements.
• Prepare fiscal and financial reports, including accounts receivable aging, payer-level revenue and collections, outstanding balance and payment trend analysis, and reconciliation of accounts receivable balances to control totals.
• Prepare, audit, or compile computer-generated spreadsheets, revenue tracking reports, daily deposit reconciliations, and revenue distribution reports for Division management and County Finance.
• Analyze and verify daily edit and exception reports, identifying and resolving posting, balancing, and data anomalies before they affect financial reporting.
• Conduct Quality Assurance (QA) audits of billing, payment posting, and cash-handling functions for compliance with applicable regulations, internal controls, and the terms and conditions of specified funding or programs.
• Resolve complex billing errors, misapplied funds, and other financial anomalies, including conducting applicable research and documenting findings.
• Perform functions associated with the later stages of the revenue cycle, such as claim appeals, inaccurate claim denials, payment errors, and overpayment determinations.
• Support internal and external audits by compiling reconciliations, supporting schedules, and documentation requested by auditors, County Finance, and regulatory agencies.
• Write fiscal, billing, and cash-handling processes and procedures that align with Division workflows and internal control requirements.
• Supervise, train, and provide technical support to subordinate staff, supervisors, and managers on accounting, reconciliation, and billing matters.
• Answer questions that involve searching for, abstracting, and manipulating technical financial data from multiple sources.
• Apply County, Department, and Division policies, procedures, and guidance in the commission of duties.
• Assist with billing and payment posting as needed.
• Serve as back-up to co-workers and may serve as back-up for higher-level employees.
• Perform other related job duties as assigned.

Benefits

• Affordable medical, dental, vision, life insurance, flexible spending accounts, and more
• Florida Retirement System (FRS)
• Generous leave time
• Access to county gyms 24/7 and wellness programs
• Deferred compensation options

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree