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Medical Accountant I - 64006598

State of FloridaDaytona Beach, FL
Onsite

About The Position

This is a highly responsible and independent fiscal position working under the direction of the ACCOUNTANT SUPERVISOR I - SES in managing the departments 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 MAO invoicing; write-offs and collections. Audits, analyzes and reviews services 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 for accuracy. Maintains a working knowledge of Medicaid, medicare and various insurance billing policies, which includes but is not limited to: service limitations billable under CSR/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, taxonomy and license numbers, etc.

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
  • 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
  • Record services
  • Bill for services
  • Monitor accounts receivable/billing reports
  • Create bill files
  • Process payments and denials
  • Process client statements, contract and MAO invoicing
  • Process write-offs and collections
  • Audit, analyze and review services for verification of all insurance information
  • Determine correct insurance and process claims accordingly
  • Research claims for Medicaid, Medicare and other third party insurance
  • Contact insurance carriers to re-evaluate claims for payment
  • Collaborate with other departments if necessary
  • Review claims for CPT and ICD codes for accuracy
  • Maintain a working knowledge of Medicaid, Medicare and various insurance billing policies
  • Ensure HMS is updated with current fees, provider numbers, NPI, taxonomy 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

Career Resources

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