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 available for State Universities and Community Colleges (up to 6 credits per semester).
Education and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application.
A formal offer of employment is contingent upon successful completion of a Level 2 background screening and due diligence process.
Starting base salary will fall within the range of $45,000.00 - $50,031.20, depending on experience and education.
Must have a minimum of four (4) years of experience in professional billing or accounting.
Must be proficient in the use of computer applications: Microsoft Office Suite (Outlook, Word, Excel and Power Point) and Internet Research.
Must have excellent communications skills with the ability to communicate clearly and effectively convey ideas, both verbally and in writing in the English language.
Must have the ability to multitask and work on multiple, complex projects with the ability to solve problems effectively and develop workable solutions.
Must have excellent interpersonal and customer service skills.
Must have strong organizational skills
Must have supervisory experience and leadership skills with the ability to delegate effectively, train staff, plan, organize, and coordinate work assignments.
Successful completion of the due diligence process to include, but not limited to, a Level II background check.
Preference will be given to candidates with the following qualifications:
Experience in Nursing Home/Long-Term Care billing and/or Healthcare insurance billing.
A Bachelor's degree in a related field, from an accredited college or university.
Strong accounts receivable collection experience.
Knowledge of State of Florida Medicaid and Medicare/CMS federal laws, rules, regulations related to long-term care billing.
Knowledge of and experience using Medical Billing and Health Information software systems.
Ability to collect and analyze data in order to identify trends, and communicate issues in a clear and concise manner.
This is an independent professional financial position responsible for the timely billing and collection of all claims resulting from the delivery of long-term care services provided to veterans residing in the State Veterans’ Nursing Homes. Ensures the Florida Department of Veterans’ Affairs (FDVA) remains in compliance with all State and Federal billing regulations.
Through the administration and supervision of centralized third party billing activities and staff, this position:
Coordinates the planning, development, organization, implementation, and evaluation of the billing unit policies and procedures.
Organizes, evaluates and monitors billing unit operations in accordance with established policies.
Provides training, support, and backup for staff as needed.
Directs, supervises, and monitors billing staff responsible for Third Party billing and collection including but not limited to Medicare A and B, Medicaid, Medicaid Managed Care, and Commercial Insurance. Ensures timely and accurate submission of claims and conducts a minimum monthly detailed review of aging with staff.
Coordinates research, resubmission, appeals, and resolution of denied claims.
Collaborates with Homes Program staff regarding all resident payor accounts as needed.
Ensures timely posting of payments for all Third Parties.
Assists and provides reports for submission of Cost Reports.
Monitors the use of Health Information Systems used for Claims Management.
Evaluates overall staff performance quarterly, annually and as needed.
Examples of Work
Directing, supervising, monitoring and performing the following activities:
Electronic transmission of Medicare, Medicaid, and Commercial Insurance claims.
Posting of payments received from Medicare, Medicaid and Commercial Insurance for services received.
Research and analyze why claims were not paid and develop collection plans.
Review of third party accounts receivable for timely collection and provide detailed status reports.
Appeal denied claims with proper supporting documentation.
Identify credit balances, research and resolve (refunds or adjustments).
Maintain knowledge of related changes in the healthcare environment and ensure policies, methods, and procedures reflect those changes.
Training, support, and back-up of staff.
Serves as team leader or team member on various project teams. Coordinates and directs the work of other employees.
Researches, State of Florida and Federal rules and regulations as well as Commercial Insurance guidelines.
Other duties as assigned.
This position is in the Select Exempt Service (SES) system.