Dental Billing ACCOUNTANT III

Dental Billing Accountant III - Ses - 64006371This 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 recommending 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.Ability to plan, organize and coordinate work assignmentsAbility to prepare and maintain a variety of recordsAbility to conduct research, analyze, and evaluate data and prepare reportsMinimum:Must have 2 years experience of dental billingMust have 2 years experience of team lead/supervisorMust be a current state of Florida employee, in a selected exempt service (SES), career service (CS), or other personal services (OPS) positionPreferred:Experience with HMS, MS Word, and ExcelExperience with Medicaid, Medicare and various insurance billing policiesExperience with CDT codesKnowledge of CPT and ICD codesKnowledge of provider credentialingThe benefits of working for the state of Florida include 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, retirement plan options, including employer contributions, flexible spending accounts, tuition waivers, and more