ACCOUNTANT I - 64004585 Date: Oct 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 840123 Agency: Department of Health Working Title: ACCOUNTANT I - 64004585 Pay Plan: Career Service Position Number: 64004585 Salary: $1570.34 bi-weekly + CAD $24.80 Posting Closing Date: 11/05/2024 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Thank you for your interest in career opportunities with the Florida Department of Health in Pinellas 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. The incumbent is part of a global public health organization and is expected to support the Florida Department of Health in Pinellas County in its mission to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts and its efforts and its vision To be the Healthiest State in the Nation. Furthermore, the incumbent is expected to incorporate the agency values of Innovation, Collaboration, Accountability, Responsiveness and Excellence in all aspects of their work. Accountant I This position reports directly to the Accounting and Finance Manager in the Accounts Receivable Department. The employee will be responsible for billing services related to the provided Specialty Care services entered in HMS for Pinellas County Health Plan enrollees. The position will Process HCFA/1500’s daily; verifies that the services have been provided as authorized and at the correct contractual reimbursement rate, initiate the billing process within HMS using the correct insurance reimbursement codes, fees and services; follows appropriate local and state fee policies when completing the billing process each time. The salary for this position starts at $40,284.40 annually , plus a competitive area differential (CAD) of $24.80 bi-weekly. Internal candidates will receive a higher salary than the pay grade minimum if eligible per DOH guidelines. Your Specific Responsibilities i ncludes, but are not limited to the following : + Bills Specialty Care claims in HMS. + Generates and reviews unbilled records and provided client services in HMS using Crystal reports/Info view, daily. + Reviews client information in HMS to verify client’s Primary Care Health Plan eligibility status. + Verifies client PCHP eligibility in CHEDAS, Florida Medicaid System and HMS to determine client’s eligibility for the County’s Health Plan on the date of service.; updates the Insurance screen and notepad in HMS with accurate information each time. + Generates provider statements for Accounts Payable section to reimburse the provider. + Reconciles contract as set up in HMS with amounts billed in HMS for each Specialty Provider. + Retrieves claims and/or medical notes from the eFax systems. + Work closely with the utilization Management team to resolve billing issues. + Monitors and documents errors in appropriate spreadsheets for tracking purposes and identify trends. + Updates Medicaid and Medicare fee schedules annually, as needed. + Enters services in HMS, generates authorizations for post-authorized claims and other. + Data entry in HMS to allow Services to be billed and invoiced in a timely manner to meet agency guidelines and requirements. + Resolves claim issues received from PCHP clients. + Reviews correspondence, billing and claim issues submitted by PCHP clients and SC Providers. + Verifies if the provider is a participating provider. + Assist department with the preparation of bi-weekly reports showing the claim and invoices status of the department. Knowledge, skills and abilities, including utilization of equipment, required for the position : Demonstrate excellent Customer service to assist internal and external customers. • Computer knowledge ability to use formulas and functions Microsoft Office i.e. Excel, Word, Outlook, etc. • Attention to Detail • Organizational skills • Critical Thinking skills • Problem-solving. • Ability to communicate both Written and verbal communication. • Basic Accounting • Team Player • Data Entry • Phone Support Qualifications: Minimum- + Effective communication skills both verbal and non-verbal. + Ability to type at least 40 WPM. + Proficiency in Excel. + Proficiency in Microsoft Office. + Basic literacy and numeracy skills. + Strong organizational skills. + Time Management skills is a must. + Demonstrates excellent customer services skills. + Demonstrates the ability to work independently, work well with others and be a team player. Preferred- • 1-3 years’ experience verifying eligibility status in CHEDAS. • Experience using the HMS/Billing Portal registering clients for clinic/dental services or doctor’s office. • 1-3 years of experience in Medical Billing and Coding (CPT codes) or is familiar with use of procedure manuals used in a doctor’s office and/or clinical setting. Florida Department of Health Mission, Vision, and Values: Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation. Values: I nnovation: We search for creative solutions and manage resources wisely. C ollaboration: We use teamwork to achieve common goals & solve problems. A ccountability: We perform with integrity & respect. R esponsiveness: We achieve our mission by serving our customers & engaging our partners. E xcellence: We promote quality outcomes through learning & continuous performance improvement. Where You Will Work: St Pete Health Center 205 Dr MLK Jr St N, St. Petersburg FL 33701 The Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including: + 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 (For more information, please click www.myfrs.com ); + Flexible Spending Accounts; + Tuition waivers; + And more! For a more complete list of benefits, visit www.mybenefits.myflorida.com . Please be advised: Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process. This position requires a security background check and/or drug screening and participation in direct deposit. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check. Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement. The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility. Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clickinghere (http://www.dms.myflorida.com/content/download/97612/566545) . All documentation is due by the close of the vacancy announcement. Location: ST PETERSBURG, FL, US, 33701 Nearest Major Market:Tampa