State of Florida · 6 days ago
OPS FISCAL ASSISTANT I - 64855488
The State of Florida is seeking an OPS Fiscal Assistant I to support the Department of Health. The role involves independent fiscal and billing duties, including processing medical and dental billings and ensuring compliance with health management systems.
Government Administration
Responsibilities
This position involves independent fiscal and billing duties
Responsibilities include medical and dental billings to appropriate parties: Medicaid, Medicare, Third Party and Dental
Posting payment to medical and dental accounts
Has computer access to the Health Management System (Hl,4S)
Adheres to DOH-Hernando Confidentiality and Security policies and procedures
Serves as a back-up to create deposits for the bank as well as 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 and take all deposits back to the departments that are out of balance
Scan in all checks and money orders in the proper deposit date
Once all paperwork received from the bank, scan the entire day’s paperwork into the online system, ensuring we keep paper records in accordance with records retention policies
Any non-compliance will be listed on the weekly Outstanding Deposits Report issued by Central Office and will be rectified within 48 hours
Serves 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 of same
Independently communicates with clerks, clerical supervisors and providers upon the review of CPT, Diagnostics and HMS Codes
Processes all Medicaid, Medicare, HMO’s and other insurance claims for services rendered
Has shared responsibility of reviewing denials with reference to correct ID number, date of birth, other information, and resubmits claims for payments
Coordinates billing function to be sure all are done correctly and in a timely manner
Prepares Health Insurance Claims (HICA) forms for billings that cannot be transmitted electronically
Re-bills and forces claims for any charges not received
Keeps files on claims secure and files office copies of claims already paid for record and auditing purposes
Maintains a tracking system of all claims submitted to ensure payments are received within acceptable or contracted timeframes
Attends all meetings and trainings pertinent to insurance which may include Medicaid, Medicare, and third-party insurers
Serves as a back-up for receiving room, processing, opening, and distributing US mail and courier mail
Distribute daily mail
Takes mail to Post Office
Serves as back up to Chief Deputy Registrar
Duties include but are not limited to answering questions, preparing copies of birth and death certificates, reviews, inspects for errors, legibility, required signatures and signs Death, Fetal Death forms that are not completed in EDRS
Authorizes, certifies, and documents certificates for issuance
Responsible for making local file copies of original certificates, mailing original certificates to Office of Vital Statistics in Jacksonville
Files burial transit permits according to date of death
Confirms eligibility and issues birth certificates and death certificates using the e vitals system
Attends all meetings and mandatory trainings
Other related duties as required
Attends and participates in staff meetings, in-service, training seminars, and other professional and staff development activities
Qualification
Required
Must have one or more years of experience working in an office setting
Must have at least one year of experience in Data Entry
Do you have at least one year of experience in contract writing
Do you have at least one year experience of Accounts Payable
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
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)
And more!
Company
State of Florida
The State of Florida is an online telephone and email directory for state government agencies and employees in Florida.
Funding
Current Stage
Late StageLeadership Team
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