Work where you can make a difference!
Performs responsible technical and administrative work regarding billing for the County’s ambulance services. Interacts with third-party administrators, commercial insurance companies, Medicare, Medicaid, beneficiaries, and employees in order to ensure prompt and accurate service and responsive problem resolution.
We offer a very competitive benefits package including:
- Medical, Dental, and Vision Insurance coverage ($26/month for employee only)
- Employee Health Clinic that offers Primary, Acute/Urgent Care, prescription dispensing, labs performed on site, digital x-rays, stress tests and EKGs, and health risk assessments
- Florida Retirement System (8 years vesting for pension plan/1 year vesting for investment plan)
- Highly Recognized Wellness at Work Program (up to $500 incentive deposited to an HRA account for participation in annual wellness program)
- No cost mental health services for you and your eligible dependents with enrollment in County health benefits program.
- Tuition Reimbursement
- Eleven recognized and observed annual paid holidays plus personal holiday hours during each fiscal year.
- Accrual of PTO starts immediately
- Training and Professional Development
- Benefits, a.k.a. Total Rewards, play an important role in your choice of an employer. If you would like to view your Total Rewards Statement upon hire, click here
ESSENTIAL JOB FUNCTIONS
- Processes EMS reports of service; receives and reviews incident reports of services rendered; enters and updates information and data into department computer systems; and audits and verifies accuracy, completeness, and appropriate coding for billing and compliance purposes.
- Maintains all vendor and provider agreements, and verifies compliance with provider rules and regulations, contract specifications, etc.
- Reviews information and makes recommendations in the negotiation of fee increases.
- Writes bid specifications involving collections.
- Reviews and modifies all bid specifications for vendor selection and procurement.
- Tracks call volume and revenues; compares and analyzes data; to include third party vendors, billing companies, and collection companies.
- Coordinates with Emergency Medical Services (EMS) personnel and medical facilities regarding training, billing, and patient data.
- Receives telephone calls and responds to client questions/inquiries regarding billing; provides information; conducts research; resolves problems; and assists in appeals processes as needed.
- Serves as liaison between clients, third-party administrators, and service providers in the settlement of claims.
- Manages unpaid accounts; negotiates payment agreements with clients; enters and updates information and claim changes, posts payments, etc.; mails payment agreement letters; and submits open balances to County Attorney as needed.
- Serves as the Privacy Officer for Charlotte County Fire/EMS; receives and responds to records requests; approves or denies requests in accordance with HIPAA laws and regulations; and maintains, retains, or destroys records in compliance with rules and regulations regarding records retention.
- Maintains related reports and data: runs reports; tracks call volume and revenues; compares and analyzes data; and audits billing records.
- Maintains comprehensive knowledge of related funding programs and legislative changes that impact revenues and EMS billing processes.
- Makes recommendations regarding changes in records, policies, or procedures that would benefit the County and/or employees.
- Performs basic administrative duties including written reports, memorandums, letters and electronic correspondence, interaction with others, and communication through telephone and meetings.
- Provides exceptional customer assistance, problem-solving, and/or complaint resolution by all forms of communication.
Education and Experience:
An equivalent combination of relevant training, education and experience:
- Associate’s Degree:
- Four (4) years of experience in medical billing and coding.
Licenses and/or Certificates:
- Must obtain and maintain within six (6) months of position assignment:
- Ambulance Coding certification
- Billing & Coding Specialist certification
- Knowledge of departmental policies, plans, and procedures.
- Knowledge of modern office practices, plans, and procedures.
- Knowledge of Microsoft Word, Excel, PowerPoint, and other job-related computer programs and software applications.
- Knowledge of office practices, business English, and spelling.
- Knowledge of record keeping and policies for processing insurance claims.
- Knowledge of the provisions of State insurance policies and self-insurance plans.
- Knowledge of basic medical and insurance terminology.
- Knowledge of modern governmental office practices, procedures, equipment, and standard clerical/administrative support techniques.
- Analytical and research skills.
- Skill in effective communication, both orally and in writing.
- Skill in prioritizing and organizing work.
- Skill in the use of office equipment such as a computer, multi-line telephone system, scanner, fax machine, and copier.
- Ability to perform basic mathematical calculations.
- Ability to assume the responsibility of working with highly confidential material on a routine basis.
- Ability to exercise judgment and discretion in applying and interpreting department rules, regulations, policies, and procedures.
- Ability to make recommendations and to use resourcefulness and tact in solving new problems.
- Ability to prepare effective correspondence on routine matters and to perform routine administrative functions without referral to supervisor.
- Ability to act as lead worker, when appropriate, with a team of subordinates and/or peers.
- Ability to ascertain priorities and meet deadlines and objectives.
- Ability to maintain accurate records and reports.
- Ability to establish and maintain effective working relationships.
- Ability to provide internal/external guidance and customer assistance via all forms of communication.
- Ability to use computers for data entry, word processing, and/or accounting purposes.
- Ability to author reports, business correspondence, and procedure manuals.
- Ability to establish and maintain effective working relationships with managers, service providers, other employees, and the general public.
PHYSICAL DEMANDS
Sitting, hearing, seeing up close, talking, standing, finger movement, repetitive motions.
WORK ENVIRONMENT
Work is performed in a relatively safe, and secure work environment.
RISK/SAFETY CONDITIONS
The position requires no exposure or risk related to physical and/or mental health and safety.
To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions herein described. Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the job description, but which may be reasonably considered to be incidental in the performing of their duties just as though they were actually written out in this job description.
Charlotte County is an Affirmative Action/ADA/Veterans’ Preference and Equal Opportunity Employer. Women, Minorities, and Persons with Disabilities are Encouraged to Apply.
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