FISCAL ASSISTANT II; MEDICAL BILLING / AR
About The Position
The Fiscal Assistant II works in the Accounts Receivable Section of the Fiscal Office and reports to the Accountant Supervisor. The position supports a Regional Billing Hub serving multiple Florida County Health Departments, processing billing for medical and dental services through the Health Management System (HMS) and pursuing insurance claims and patient payments to maximize revenue. The role monitors compliance, when applicable, with Section 215.422, Florida Statutes, and Chapter 2A-20, Florida Administrative Code. The position manages billing, collections, payment posting, deposits, denial processing, appeals, refunds, and account inquiries for Sarasota and partner Billing Hub counties. It maintains accurate billing records and client confidentiality, documents collection activity, and follows Department of Health policies, industry standards, and Florida debt collection laws. The employee also cross-trains to provide team coverage and performs other Fiscal Department duties as needed.
Requirements
- Knowledge of Microsoft Office software, HMS clinic billing software, email, and internet access.
- Ability to be dependable, flexible, and take initiative.
- Ability to work with others in a professional, courteous, and helpful manner.
- Ability to present a positive image of the Department of Health-Sarasota and oneself.
- Ability to learn and communicate effectively in English, orally and in writing.
Responsibilities
- Run HMS aged receivable reports at least monthly and contact clients and third-party insurers about outstanding balances through email, web portals, phone, and mail.
- Appeal inappropriate claim denials and work with the supervisor and provider representatives to resolve reimbursement issues.
- Post payments, prepare deposits, and process denials in HMS according to the current Accounts Receivable Policy.
- Appeal inappropriate denials promptly according to payer-specific guidelines and requirements.
- Identify revenue coding from Voucher Posting reports for entry into PALM, ensuring revenue is coded to the appropriate programs for contracted Billing Hub counties.
- Bill services in HMS to the appropriate payer source according to Department of Health policies, procedures, and industry standards.
- Maintain accurate billing information in HMS and protect client confidentiality throughout collections.
- Submit claims directly through Medicaid and other web portals when appropriate.
- Document collection efforts for all payer sources using monthly reports and initiate payer projects to resolve inaccurate reimbursements.
- Work with clients in person and by phone to investigate account inquiries and irregularities and resolve concerns.
- Perform collections in compliance with current Department of Health Accounts Receivable and Cash Handling policies and Florida debt collection laws.
- Process refund requests according to the Department of Health Accounts Receivable Policy.
- Cross-train to provide coverage for other team members on leave.
- Perform other Fiscal Department duties as required, including attending and participating in meetings and covering for team members on leave.
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 supplemental insurance.
- Retirement plan options, including employer contributions.
- Flexible Spending Accounts.
- Tuition waivers.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
