ACCOUNTANT IV-HEALTH INSURANCE BILLING - 50950010 Date: Mar 5, 2025 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: 847975 Agency: Veterans Affairs Working Title: ACCOUNTANT IV-HEALTH INSURANCE BILLING - 50950010 Pay Plan: Career Service Position Number: 50950010 Salary: $42,034.46+ C.A.D. $644.80 Posting Closing Date: 03/19/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Requisition # 847975 *Anticipated Vacancy* ACCOUNTANT IV – HEALTH INSURANCE BILLING #50950010 FLORIDA DEPARTMENT OF VETERANS' AFFAIRS Mary Grizzle State Office Building Largo, Pinellas County Starting Annual Salary: $42,034.46, plus current Competitive Area Differential (CAD) of $644.80 annually Paid Bi-weekly Excellent retirement package and optional deferred compensation plan. Health, vision, dental, disability, and other supplemental insurance available at reasonable premium rates. Paid vacation and sick leave. Nine (9) paid holidays and personal day. Tuition waiver is available for State Universities and Community Colleges (up to six (6) credits per semester). Education and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. MINIMUM QUALIFICATIONS : + One (1) year experience in third party health insurance claims, medical billing, and collections. + Excellent written and verbal communication and interpersonal skills. + Successful completion of the due diligence process, to include a Level 2 Background screening PREFERRED QUALIFICATIONS : + Experience in Statewide Managed Care Medicaid program rules and regulations. + Experience in reviewing and analyzing outstanding accounts receivables. + Excellent skills in Microsoft Office Suite: Excel, Word and Outlook. POSITION DESCRIPTION : Under the general supervision of the Billing Manager, the incumbent performs duties involving the independent application of revenue management skills, billing activities and other fiscal related matters. Performs financial and billing functions in the Health Information System, FLAIR, DDE, and various other payer associated portals and websites. The Accountant IV incumbent is responsible for performing claims processing, posting payments and collection activities of the State Veterans’ Homes and providing support and assistance to all billing team members in the daily accounts receivable functions to maintain the billing as follows: + Produce and maintain monthly billing for all Medicare A&B, Medicaid, and Medicaid Managed Care, 3rd party commercial insurers, and any other payor, including residents for the State Veterans’ Homes. + Review and monitor resident account information ensuring that account set-up and payor types have been correctly established by the facility, verifying insurance program eligibilities. + Daily review and monitoring of account status. + Posting of all payor payments. + Work, correct, resolve, and collect accounts in the aging reports for Medicare, Medicaid, 3rd party insurance, and any other payor, including residents. + Responsible for the collection of current and aging accounts. + Maintain clean and up-to-date billing and collection reports. + Compile and prepare reports to verify the accuracy of monies collected and deposited into resident & facility accounts. + Analyze 3rd party and any other payor credit balances to ensure accurate accounting for refunds and the completion of the refund process. + Monitor billing and collection reports of all facilities to ensure accurate and timely billing and collection of claims. + Conduct billing-related Quality Assurance activities for all homes. + Complete all the daily billing functions of any facility as instructed. + Work directly with all payors on all resident reimbursement denials and file inquiries, reconsiderations, refunds and appeals to the appropriate agency or individual(s) for rejected claims. + Perform other duties as directed in an efficient, professional, and timely manner. This position is in the Career Service System. 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: LARGO, FL, US, 33778 Nearest Major Market:Tampa