OPS SENIOR CLERK - 64953219

State of Florida•Lakeland, FL

11d•$16 - $17•Onsite

About The Position

Thank you for your interest in career opportunities with the Florida Department of Health in Polk County. If you are looking to establish a successful career in Public Health, you have come to the right place. Many of our innovative and successful health programs are recognized throughout Florida. We hope you decide to join our team! Applicants will be contacted directly if selected for an interview. Your Specific Responsibilities: The incumbent for this position will provide duties at all clinics within Polk County. Registration: Performs receptionist/clerical duties. Registers/Check-In clients in the Health Management System (HMS), ensuring necessary fields are completed for data input. Enter accurate and updated data for demographic, insurance and financial information into HMS and other FDOH-Polk approved databases. Verifies the required eligibilities i.e. financial, insurance, etc. Obtain any authorizations in accordance to policy and procedures. Scan collected client’s information in the HMS and other FDOH-Polk approved Electronic Records. Schedules and confirms appointments (telephonically), and reviews appointment logs, answers telephones, complete appointment/eligibility reminder calls in accordance to policy. Ensure clients are checked in timely in accordance to the schedule and or arrival time in accordance to procedures. Complete the program specific Superbills for each client. Check-Out clients and schedule follow up appointments in accordance to the scheduling templates and guidelines in HMS. Complete appointment or financial eligibility reminder calls, as required/requested. Documents will be scanned daily using the correct naming convention, client identifier placed on documents and save to the correct place (i.e. clinical or document). Scanned documents will be reviewed to ensure they are legible in the HMS system. OR Biller: Accurate entry(s) in HMS and or FamCare client’s service visits. Ensuring all coding recorded from the superbills in HMS for self-pay and all services recorded in FamCare for IHC clients. Review daily all cash client’s superbills, prior to processing to include forwarding back to the responsible party(s) for corrections as needed. All self-pay superbills require input daily in accordance to policy. Random daily review of Medicaid or TPL superbills to ensure accuracy. Collection of payment for past and present balances. Cash or credit card transactions processed in accordance to procedures. Review HMS Check-Out without Services and FP Missing Method reports and address according to policy. Documents will be scanned in HMS or other FDOH-Polk approved Electronic Record as needed. Schedule and confirm follow-up appointments. Ensure all clients are checked out timely in accordance to procedures. Provide a receipt during check-out, as required. Process and verifies the required eligibilities i.e. financial, insurance, etc. for Family Planning Waiver. Request and obtain any additional documents or information in accordance to policy and procedures. Makes outgoing or answers incoming calls. Maintain accurate daily cash drawer. Report any discrepancies immediately in accordance to procedures. Performs registration or receptionist duties as needed. Registration and Biller: Utilize daily Change Health, FL FMMIS, FL Medicaid Web Portal, FL Shots, FamCare, Availity, and FL System, to complete Insurance Eligibility, Specialty program registrations in accordance to policy. Enters all demographic information into the HMS, Florida Shots, FamCare, system as required. Enters client shot history into the Florida Shots system. Assembles immunizations’ records, verifies eligibility, and obtains authorization, as required. Communicate with OMCI any concerns or issues as needed. OTHER RELATED DUTIES AS ASSIGNED: Travels and performs other related duties. Attends approved training and enters EARS data every Thursday by COB. Incumbent can be assigned duty in at another clinic site as needed and could be required to use his/her personal vehicle to travel within Polk County. Due to clinic demands and high patient volume, incumbent might sometimes be required to work beyond regular hours.

Requirements

Ability to operate commonly used office equipment such as computers, printers, fax machine, label maker, paper shredder.
Ability to use Microsoft Office products (Outlook, Excel, Word, Access, PowerPoint).
Knowledge of general office procedures and practices.
Knowledge of correct grammar usage.
Knowledge of basic arithmetic.
Ability to prepare reports and correspondence.
Ability to plan, organize and coordinate work activities.
Ability to develop and implement office procedures.
Ability to follow instructions.
Ability to review data for accuracy and completeness.
Ability to perform basic arithmetical calculations.
Ability to communicate effectively.
Ability to establish and maintain effective working relationships with others.
Ability to obtain information from FMMIS (Florida Medicaid Management Information System).
Valid Florida Driver’s License
High School Diploma

Responsibilities

Performs receptionist/clerical duties.
Registers/Check-In clients in the Health Management System (HMS), ensuring necessary fields are completed for data input.
Enter accurate and updated data for demographic, insurance and financial information into HMS and other FDOH-Polk approved databases.
Verifies the required eligibilities i.e. financial, insurance, etc.
Obtain any authorizations in accordance to policy and procedures.
Scan collected client’s information in the HMS and other FDOH-Polk approved Electronic Records.
Schedules and confirms appointments (telephonically), and reviews appointment logs, answers telephones, complete appointment/eligibility reminder calls in accordance to policy.
Ensure clients are checked in timely in accordance to the schedule and or arrival time in accordance to procedures.
Complete the program specific Superbills for each client.
Check-Out clients and schedule follow up appointments in accordance to the scheduling templates and guidelines in HMS.
Complete appointment or financial eligibility reminder calls, as required/requested.
Documents will be scanned daily using the correct naming convention, client identifier placed on documents and save to the correct place (i.e. clinical or document).
Scanned documents will be reviewed to ensure they are legible in the HMS system.
Accurate entry(s) in HMS and or FamCare client’s service visits.
Ensuring all coding recorded from the superbills in HMS for self-pay and all services recorded in FamCare for IHC clients.
Review daily all cash client’s superbills, prior to processing to include forwarding back to the responsible party(s) for corrections as needed.
All self-pay superbills require input daily in accordance to policy.
Random daily review of Medicaid or TPL superbills to ensure accuracy.
Collection of payment for past and present balances.
Cash or credit card transactions processed in accordance to procedures.
Review HMS Check-Out without Services and FP Missing Method reports and address according to policy.
Documents will be scanned in HMS or other FDOH-Polk approved Electronic Record as needed.
Schedule and confirm follow-up appointments.
Ensure all clients are checked out timely in accordance to procedures.
Provide a receipt during check-out, as required.
Process and verifies the required eligibilities i.e. financial, insurance, etc. for Family Planning Waiver.
Request and obtain any additional documents or information in accordance to policy and procedures.
Makes outgoing or answers incoming calls.
Maintain accurate daily cash drawer.
Report any discrepancies immediately in accordance to procedures.
Performs registration or receptionist duties as needed.
Utilize daily Change Health, FL FMMIS, FL Medicaid Web Portal, FL Shots, FamCare, Availity, and FL System, to complete Insurance Eligibility, Specialty program registrations in accordance to policy.
Enters all demographic information into the HMS, Florida Shots, FamCare, system as required.
Enters client shot history into the Florida Shots system.
Assembles immunizations’ records, verifies eligibility, and obtains authorization, as required.
Communicate with OMCI any concerns or issues as needed.
Travels and performs other related duties.
Attends approved training and enters EARS data every Thursday by COB.
Incumbent can be assigned duty in at another clinic site as needed and could be required to use his/her personal vehicle to travel within Polk County.
Due to clinic demands and high patient volume, incumbent might sometimes be required to work beyond regular hours.

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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