Accountant I - 64054344

 Pay Plan: [[custSubGroup]]

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*** POSITION IS CURRENTLY BEING RECLASSED TO ACCOUNTANT I***

SPECIALTY CARE CLAIMS/ACCOUNTS RECEIVABLE DUTIES:
•    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. 
•    Verifies client’s Medicaid eligibility status. Updates the insurance screen and notepad in HMS. 
•    Generates provider statements for Accounts Payable section to reimburse the provider. 
•    Reconciles contract as set up in HMS with amount billed in HMS for each Specialty Provider. 
•    Retrieves claims and/or medical notes from the eFax systems. 
•    Works 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 in HMS, as needed.
•    Enters services in HMS, generates authorizations for post-authorized claims and other. 
•    Generate, reviews unbilled records and provided client services in HMS using Crystal reports/Info view, daily. 
•    Reviews client information in HMS to re-verify client’s Primary Care Health Plan eligibility status, updates the insurance screen and the HMS notepad with accurate information each time. 
•    Generate provider statements for Accounts Payable to submit reimbursement to providers. 
•    Set up Specialty Provider’s contract as in HMS, reconcile as needed. 
•    Work closely with the utilization Management team to resolve billing issues.

Performs other related duties as assigned by supervisor.
 
Required Knowledge, Skills, and Abilities:
•    Utilization of equipment, required for the position
•    Ability to use Facsimile, copier and personal computer.
•    Understanding of Microsoft Office-Windows, Excel, Word
•    Understanding of basic grammar, written sentence’s structure and paragraphs in work related documents.
•    Ability to gather information, knowledge of how to research various State web sites to search policies and procedures, identifying essential information needed to perform assigned duties and complete daily assignments.
•    Basic mathematics knowledge.
•    Proficient typing skills and data entry
•    Strong organizational skills.
•    Time Management skills is a must.
•    Excellent communication skills, both written and verbal.
•    Displays excellent phone etiquette, a friendly and polite tone.
•    Demonstrates excellent customer services skills.
•    Demonstrates the ability to work independently, work well with others and be a team player.
 
Qualifications:
Minimum: 
•    High school Diploma
•    3 years or more experience in Microsoft Office, for example ability to complete work in Excel, Word and Powerpoint.
•    3 years or more of experience in Account Receivables

Preferred: 
•    More than 2 years of knowledge of and/or experience working in the Department of Health Billing Portal.
•    More than 2 years of knowledge of verifying client insurance in the Florida Medicaid System or use of other insurance verification/eligibility web portals.
•    More than 2 years of knowledge of reviewing and analyzing outstanding accounts receivables.
 
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:
Department of Health in St. Petersburg: 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, including monthly costs, 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. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.
 
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.
 
All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.  
 
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 clicking here.  All documentation is due by the close of the vacancy announcement.