BUSINESS MANAGER II - SES

State of Florida•DAYTONA BEACH, FL

4d•Onsite

About The Position

This is an independent professional financial position responsible for the timely billing and collection of all claims resulting from the long-term care services provided to veterans residing in the State Veterans’ Nursing Homes. Ensures the Florida Department of Veterans’ Affairs (FDVA) remains in compliance with all State and Federal Billing regulations. Manages and supervises the Accountant II position, responsible for the centralized third-party billing activities of State Veterans’ Homes Program and the Receptionist position, both full-time and OPS. Provides training, support and back-up of staff. Serves as team leader or team member on various project teams. Coordinates and directs the work of other employees. Coordinates the planning, developing, organizing, implementing, evaluating, and directing of the billing unit policies and procedures. Interprets the facility’s policies and procedures, providing clarity and definition to office personnel. Organizes, evaluates and monitors billing unit operations in accordance with established policies. Provides training, support and back-up for staff as needed. Responsible for directing, supervising and monitoring Third Party Billing and Collections including, but not limited, to monthly billing Medicare A & B, Medicaid and Third-party insurers. Set up of veteran resident’s accounts. Timely posting of payments for all third-party payers. Research and resubmitting of denied claims. Monthly review of aging reports to ensure timely collections, resubmission of claims for denial, and determination of accounts to be referred for collection. Cost Reports. Identify credit balances, research and resolve (refunds or adjustments). This position is in the SES system.

Requirements

Minimum of five (5) years of experience in accounting or medical billing or related field.
Proficiency in the use of computer applications; Microsoft Office, Excel and Internet.
Ability to determine work priorities, assign work and ensure proper and timely completion of work assignments.
Ability to understand and apply applicable rules, regulations, policies, and procedures.
Ability to work independently.
Ability to effectively communicate, verbally and in writing.
Ability to work on multiple and complex projects, while maintaining strong organizational skills.
Ability to problem-solve effectively and develop workable solutions.
Ability to establish and maintain effective working relationships with others.
Successful completion of the due diligence process to include, but not limited to, a Level II background check.

Nice To Haves

Bachelor's degree from an accredited college or university in Business. Professional billing or accounting experience may substitute on a year-for-year basis for the preferred college education.
Experience in Long Term Care billing or Medical Health insurance billing.
Knowledge of Medicare, Medicaid and 3rd party billing.
Strong accounts receivable collection experience.
Supervisory skills and experience.
Knowledge of State of Florida and Federal laws and rules regarding billing regulations.
Experience using State of Florida accounting systems: SAMAS/FLAIR, MFMP, and Works.

Responsibilities

Ensures the Florida Department of Veterans’ Affairs (FDVA) remains in compliance with all State and Federal Billing regulations.
Manages and supervises the Accountant II position, responsible for the centralized third-party billing activities of State Veterans’ Homes Program and the Receptionist position, both full-time and OPS.
Provides training, support and back-up of staff.
Serves as team leader or team member on various project teams.
Coordinates and directs the work of other employees.
Coordinates the planning, developing, organizing, implementing, evaluating, and directing of the billing unit policies and procedures.
Interprets the facility’s policies and procedures, providing clarity and definition to office personnel.
Organizes, evaluates and monitors billing unit operations in accordance with established policies.
Provides training, support and back-up for staff as needed.
Responsible for directing, supervising and monitoring Third Party Billing and Collections including, but not limited, to monthly billing Medicare A & B, Medicaid and Third-party insurers.
Set up of veteran resident’s accounts.
Timely posting of payments for all third-party payers.
Research and resubmitting of denied claims.
Monthly review of aging reports to ensure timely collections, resubmission of claims for denial, and determination of accounts to be referred for collection.
Cost Reports.
Identify credit balances, research and resolve (refunds or adjustments).

Benefits

Competitive Wage Scale
Health Insurance- Family Plan $15.00, Bi-weekly.
Health Insurance- Individual Plan $4.17, Bi-weekly.
Choice of Insurance plans- HMO or PPO
Life, Dental, Vision and much more offered
State Pension/ Retirement and 401K
176 hours of vacation
104 hours of sick leave
Nine paid holidays
Tuition Waiver Program for full-time employees- up to 6 credit hours each semester