Dental Billing ACCOUNTANT III - SES - 64006371

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Job posting category (State Personnel System)

Applicants accepted only from employees currently employed in a State Personnel System position. Applicants will not be accepted from those employed outside of the State Personnel System.

Your Specific Responsibilities:

This is a highly responsible and independent fiscal position working under the direction of the ACCOUNTANT SUPERVISOR. This position will provide assistance to the ACCOUNTANT SUPERVISOR in managing the department's financial and business functions. This position will supervise the Credentialing services for multiple county health departments as defined by appropriate inter-agency agreements. This position may also assist in the performance of the Accounts Payable, Accounts Receivable and Billing Operations. This position is the Lead role in the Dental Accounts Receivable and Billing Operations of multiple county health departments as defined by appropriate inter-agency agreements. The incumbent is the Lead role responsible for providing professional support and technical assistance to the staff which consists of training, answering questions, directing and coverage of team members in the absence of the ACCOUNTANT SUPERVISOR.    

This individual is responsible for the supervision of staff including appraisals, planning and directing their work, approving leave, having the authority for hiring, and taking disciplinary action or effectively reccomending such actions.

For all counties as appropriate, assists with the 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 MOA invoicing; write-offs; and collections.    

Assists with: Auditing, analysis and review of superbills for verification of all insurance information; Making necessary determinations as to correct insurance and processing all claims accordingly; Researching claims for Medicaid, Medicare and other third party insurance; and Contacting insurance carriers when necessary to re-evaluate claims for payment.

Acts as liaison for Change Health Care with Tallahassee on behalf of the Volusia Billing Hub. Researches and resolves CHC errors, rejections and denials. Ensures timely resubmission of claims.

Supervises personnel who provide professional medical billing support and technical assistance to Billing Hub team members such as:     

•Researches, develops and evaluates new methods and techniques of training.

•Coordinates training of new Billing Hub employees; ensures that training materials are current and complete and develops training materials, as appropriate. 

Ensures staff 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 is updated as appropriate in areas related to billing with current fees, provider numbers, NPI and taxonomy numbers and license numbers. etc.

Reviews provider enrollment documents and ensures that provider files are up-to-date. Expanded to include registration and maintenance of eligible providers for Electronic Health Records incentive program.

Required Knowledge, Skills, and Abilities:

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

Qualifications:

Minimum - 

Must have 2 years experience of dental billing

Must have2 years experience of Team Lead /Supervisor

Must be a current State of Florida employee, in a Selected Exempt Service (SES), Career Service (CS), or Other Personal Services (OPS) position

Preferred -

Experience with HMS, MS Word, and Excel

Experience with Medicaid, Medicare and various insurance billing policies 

Experience with CDT codes

Knowledge of CPT and ICD codes

Knowledge of provider credientialing

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:

1845 Holsonback Drive, Daytona Beach, FL 32117

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.