OPS SENIOR CLERK - 64953219

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Thank you for your interest in career opportunities with the Florida Department of Health in Polk 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.

Your Specific Responsibilities:

The incumbent for this position will provide duties at all clinics within Polk County.

Registration:

• Performs receptionist/clerical duties.
• Registers/Check-In clients in the Health Management System (HMS), ensuring necessary fields are completed for data input.
• Enter accurate and updated data for demographic, insurance and financial information into HMS and other FDOH-Polk approved databases. 
• Verifies the required eligibilities i.e. financial, insurance, etc.  Obtain any authorizations in accordance to policy and procedures. 
• Scan collected client’s information in the HMS and other FDOH-Polk approved Electronic Records.
• Schedules and confirms appointments (telephonically), and reviews appointment logs, answers telephones, complete appointment/eligibility reminder calls in accordance to policy. 
• Ensure clients are checked in timely in accordance to the schedule and or arrival time in accordance to procedures.
• Complete the program specific Superbills for each client.
• Check-Out clients and schedule follow up appointments in accordance to the scheduling templates and guidelines in HMS.
• Complete appointment or financial eligibility reminder calls, as required/requested.
• Documents will be scanned daily using the correct naming convention, client identifier placed on documents and save to the correct place (i.e. clinical or document). Scanned documents will be reviewed to ensure they are legible in the HMS system.

OR

Biller:

• Accurate entry(s) in HMS and or FamCare client’s service visits.  Ensuring all coding recorded from the superbills in HMS for self-pay and all services recorded in FamCare for IHC clients. 
• Review daily all cash client’s superbills, prior to processing to include forwarding back to the responsible party(s) for corrections as needed. All self-pay superbills require input daily in accordance to policy.
• Random daily review of Medicaid or TPL superbills to ensure accuracy.
• Collection of payment for past and present balances.  Cash or credit card transactions processed in accordance to procedures.
• Review HMS Check-Out without Services and FP Missing Method reports and address according to policy.
• Documents will be scanned in HMS or other FDOH-Polk approved Electronic Record as needed.
• Schedule and confirm follow-up appointments. 
• Ensure all clients are checked out timely in accordance to procedures. Provide a receipt during check-out, as required.
• Process and verifies the required eligibilities i.e. financial, insurance, etc. for Family Planning Waiver.  Request and obtain any additional documents or information in accordance to policy and procedures. 
• Makes outgoing or answers incoming calls.
• Maintain accurate daily cash drawer.  Report any discrepancies immediately in accordance to procedures.
• Performs registration or receptionist duties as needed.

Registration and Biller:

• Utilize daily Change Health, FL FMMIS, FL Medicaid Web Portal, FL Shots, FamCare, Availity, and FL System, to complete Insurance Eligibility, Specialty program registrations in accordance to policy.
• Enters all demographic information into the HMS, Florida Shots, FamCare, system as required.  Enters client shot history into the Florida Shots system.  Assembles immunizations’ records, verifies eligibility, and obtains authorization, as required.
• Communicate with OMCI any concerns or issues as needed.

OTHER RELATED DUTIES AS ASSIGNED:

• Travels and performs other related duties. 
• Attends approved training and enters EARS data every Thursday by COB.
• Incumbent can be assigned duty in at another clinic site as needed and could be required to use his/her personal vehicle to travel within Polk County. 
• Due to clinic demands and high patient volume, incumbent might sometimes be required to work beyond regular hours.

Required Knowledge, Skills, and Abilities:

• Ability to operate commonly used office equipment such as computers, printers, fax machine, label maker, paper shredder.  Ability to use Microsoft Office products (Outlook, Excel, Word, Access, PowerPoint).
• Knowledge of general office procedures and practices. 
• Knowledge of correct grammar usage. 
• Knowledge of basic arithmetic. 
• Ability to prepare reports and correspondence. 
• Ability to plan, organize and coordinate work activities. 
• Ability to develop and implement office procedures. 
• Ability to follow instructions. 
• Ability to review data for accuracy and completeness. 
• Ability to perform basic arithmetical calculations. 
• Ability to communicate effectively. 
• Ability to establish and maintain effective working relationships with others. 
• Ability to obtain information from FMMIS (Florida Medicaid Management Information System).

Qualifications:

• Valid Florida Driver’s License
• High School Diploma

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:

Lakeland, FL

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. As an OPS employee, the benefits below are available:

• 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!

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.    

If there are any problems applying online, please call People First Staffing Administration: (877) 562-7287.

Service Center hours are Monday through Friday, 8:00 a.m. to 6:00 p.m., ET. TTY users, call (866) 221-0268.

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.