OPS FISCAL ASSISTANT I - 64858525

State of Florida•Brooksville, FL

1d•$16•Onsite

About The Position

This position involves independent fiscal and billing duties, including medical and dental billings to appropriate parties such as Medicaid, Medicare, Third Party, and Dental. Responsibilities also include posting payments to medical and dental accounts and utilizing the Health Management System (HMS). The incumbent must adhere to DOH-Hernando Confidentiality and Security policies and procedures. This role supports the Florida Department of Health in Hernando County's mission to protect, promote, and improve health, and its vision to be the Healthiest State in the Nation, by incorporating agency values of Innovation, Collaboration, Accountability, Responsiveness, and Excellence. The position serves as a back-up for creating and balancing bank deposits, loading them into the FLAIR system/FL Palm, ensuring timely entry, and scanning checks and money orders. It also involves coordinating with the credentialing team to ensure providers can bill through the health department and submitting enrollment packets to insurance companies. Furthermore, the incumbent serves as a back-up for reviewing medical records for CPT and ICD diagnosis codes, processing various insurance claims, and managing denials. The role includes preparing Health Insurance Claims (HICA) forms, re-billing claims, maintaining a tracking system for payments, and attending relevant insurance meetings and trainings. Additional back-up duties include receiving, processing, opening, and distributing mail, and serving as a back-up to the Chief Deputy Registrar for duties related to birth and death certificates, including answering questions, preparing copies, reviewing for errors, authorizing, certifying, and documenting certificates, and using the e vitals system.

Requirements

Knowledge of the principles and techniques of effective communication.
Knowledge of office procedures and practices.
Knowledge of basic arithmetic.
Ability to deal with the public in a tactful, courteous, and effective manner.
Ability to speak clearly and correctly.
Ability to listen effectively.
Ability to record and evaluate data relating to applicant employment or assistance for health care or community services.
Ability to understand and apply applicable rules, regulations, policies, and procedures relating to applicant employment, or assistance for health care or community services.
Ability to review data for accuracy and completeness.
Ability to organize and maintain filing systems.
Ability to perform basic arithmetical calculations.
Ability to plan, organize and coordinate work assignments.
Ability to communicate effectively.
Ability to establish and maintain effective working relationships with others.
Must have at least one year of experience in Data Entry.

Nice To Haves

Must have at least one year of experience in credentialing.
Must have at least one year of experience in Accounts Receivable working with insurances.

Responsibilities

Perform independent fiscal and billing duties.
Handle medical and dental billings to Medicaid, Medicare, Third Party, and Dental.
Post payments to medical and dental accounts.
Access and utilize the Health Management System (HMS).
Adhere to DOH-Hernando Confidentiality and Security policies and procedures.
Serve as a back-up to create deposits for the bank.
Balance all deposits from all departments in both Spring Hill and Brooksville CHDs.
Load deposits into the FLAIR system/FL Palm.
Ensure all deposits are entered within 5 calendar days.
Take all deposits back to the departments that are out of balance.
Scan all checks and money orders in the proper deposit date.
Scan the entire day’s paperwork into the online system once received from the bank.
Keep paper records in accordance with records retention policies.
Rectify any non-compliance listed on the weekly Outstanding Deposits Report within 48 hours.
Ensure all providers are added to the list and pertinent forms are filled out for billing through the health department.
Coordinate with the credentialing team to ensure billing credentialing for providers is kept updated.
Submit enrollment packets to insurance companies within proper timelines of receiving pertinent information.
Serve as a back-up responsible for reviewing medical records to ensure billing forms have Current Procedure Terminology (CPT) and International Classification of Disease (ICD) diagnosis codes for billing.
Independently communicate with clerks, clerical supervisors, and providers upon the review of CPT, Diagnostics, and HMS Codes.
Process all Medicaid, Medicare, HMO’s, and other insurance claims for services rendered.
Share responsibility for reviewing denials with reference to correct ID number, date of birth, and other information.
Resubmit claims for payments.
Coordinate billing function to ensure all are done correctly and in a timely manner.
Prepare Health Insurance Claims (HICA) forms for billings that cannot be transmitted electronically.
Re-bill and force claims for any charges not received.
Keep files on claims secure and file office copies of claims already paid for record and auditing purposes.
Maintain a tracking system of all claims submitted to ensure payments are received within acceptable or contracted timeframes.
Attend all meetings and trainings pertinent to insurance which may include Medicaid, Medicare, and third-party insurers.
Serve as a back-up for receiving room, processing, opening, and distributing US mail and courier mail.
Distribute daily mail.
Take mail to Post Office.
Serve as back up to Chief Deputy Registrar.
Answer questions, prepare copies of birth and death certificates.
Review and inspect birth and death certificates for errors, legibility, and required signatures.
Sign Death, Fetal Death forms that are not completed in EDRS.
Authorize, certify, and document certificates for issuance.
Make local file copies of original certificates.
Mail original certificates to Office of Vital Statistics in Jacksonville.
File burial transit permits according to date of death.
Confirm eligibility and issue birth certificates and death certificates using the e vitals system.
Attend all meetings and mandatory trainings related to Registrar duties.
Perform other related duties as required.
Attend and participate in staff meetings, in-service, training seminars, and other professional and staff development activities.

Benefits

State of Florida 401(a) FICA Alternative Plan (mandatory)
Participation in state group insurance (upon meeting eligibility requirements. Consult with People First and/or the serving HR office)
Workers’ Compensation (mandatory, if needed)
Reemployment Assistance (Unemployment Compensation) (mandatory, if needed)
Deferred Compensation (voluntary)
Employee Assistance Program (voluntary)

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