Medical Accountant I - 64006394

State of Florida • Daytona Beach, FL

17d • Onsite

About The Position

The position serves as the ACCOUNTANT I and works under the general supervision of the ACCOUNTANT III-SES, Finance & Accounting, providing professional support and technical assistance to the staff, community agencies, and the general public. This is a highly responsible and independent fiscal position that will provide assistance to the ACCOUNTANT SUPERVISOR I- SES in managing the department’s financial and business functions of all aspects of the Accounts Receivable and Billing Operations of multiple county health departments as defined by appropriate inter-agency agreements. For all counties as appropriate, plan, direct and coordinate accounting, collection and billing functions including: recording services; billing for services; monitoring accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing client statements contract and MOA invoicing; write-offs and collections. Audits, analyzes and reviews superbills for verification of all insurance information; makes necessary determination as to the correct insurance and processes all claims accordingly. Researches claims for Medicaid, Medicare and other third party insurance. Contacts insurance carriers when necessary to re-evaluate claims for payment. Responsible for collaborating with other departments if necessary. Reviews claims for CPT and ICD codes or accuracy. Maintains a working knowledge of Medicaid, Medicare and various insurance billing policies, which includes but is not limited to: service limitations billable under CBR/managed care and service limitations/billable by billing type. Ensures HMS has been updated as appropriate in area related to billing with current fees, provider numbers, NPI and taxonomy numbers and license numbers, etc. Other duties as assigned.

Requirements

• Must be willing to physically come in the office to perform the duties & responsibilities of the positions
• Must have current authorization to work in the United States without employer sponsorship
• Ability to plan, organize and coordinate work assignments
• Ability to prepare and maintain a variety of records
• Ability to conduct research, analyze, and evaluate data and prepare reports
• Ability to learn and communicate effectively, orally and in writing, in English.

Nice To Haves

• Experience with HMS, MS Word, and Excel
• Experience with Medicaid, Medicare and various insurance billing policies
• Knowledge of CPT and ICD-10 coding
• Experience verifying insurance and the accuracy of payments
• Experience following up on denied or unpaid claims

Responsibilities

• Plan, direct and coordinate accounting, collection and billing functions including: recording services; billing for services; monitoring accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing client statements contract and MOA invoicing; write-offs and collections.
• Audits, analyzes and reviews superbills for verification of all insurance information; makes necessary determination as to the correct insurance and processes all claims accordingly.
• Researches claims for Medicaid, Medicare and other third party insurance.
• Contacts insurance carriers when necessary to re-evaluate claims for payment.
• Collaborates with other departments if necessary.
• Reviews claims for CPT and ICD codes or accuracy.
• Maintains a working knowledge of Medicaid, Medicare and various insurance billing policies, which includes but is not limited to: service limitations billable under CBR/managed care and service limitations/billable by billing type.
• Ensures HMS has been updated as appropriate in area related to billing with current fees, provider numbers, NPI and taxonomy numbers and license numbers, etc.

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: Entry Level
• Education Level: No Education Listed