FISCAL ASSISTANT II - 64049980

Requisition No: 862234 

Agency: Department of Health

Working Title: FISCAL ASSISTANT II - 64049980

 Pay Plan: Career Service

Position Number: 64049980 

Salary:  $43,280.00 ANNUALLY 

Posting Closing Date: 10/04/2025 

Total Compensation Estimator Tool

FLORIDA DEPARTMENT OF HEALTH BROWARD

FISCAL ASSISTANT II  - 64049980

FINANCE-BILLING

INTERNAL AGENCY OPPORTUNITY

This position requires you to work on site at one of our facilities located throughout Broward County.  

Applicants accepted only from Department of Health employees, (includes OPS, Career Service, SES or SMS employees). Applicants will not be accepted from outside of the department.

We request that all applications be completed with People First - no faxed or mailed applications to the agency. Experience, education, and/or training used to meet the minimum qualifications and in response to the qualifying questions must be verifiable through information contained in your application. 

When completing the online application, all gaps of employment or education greater than 90 days starting from high school must be explained (approximate date, month, and year) identifying company name or if unemployed. Incomplete applications will not be considered.

Duties and Responsibilities

This is a professional position that serves as the medical and dental biller for the Accounts Receivable Department of the Broward County Health Department.

Duties include:

Payment Posting

Responsible for the posting in HMS (Health Management System) all the Explanation of Benefits (EOB) from the insurance companies. Ensure reimbursement amount from the insurance companies is the correct allowable amount.  Serves as the domain expert in the payment posting department. Mentors and develops team members to ensure cross functional skill sets. Creates and updates the daily posting payment reports in Excel.

Audits and Processes Encounters

Assists the Billing Manager with auditing of all superbills for verification of all insurance information; making necessary determination as to the correct insurance and processing all claims accordingly; researching claims for Medicaid, and other third-party insurance; contacting insurance carrier’s representatives when necessary to re-evaluate claims for payment. Attends training and In-service education with vendors to enhance knowledge and prevent revenue lost.

 Runs and prepares daily Reports for Supervisor Review.

Creates and updates a daily Issues Report to track down payments appealed by all team members. Analyses all department denials received by vendor to determine the denial reason and to identify patterns and trends for non-payment.  Advises supervisor about issues that are affecting a large number of claims from being paid.

 Claims Billing

Responsible for the accuracy and timeliness of medical and dental billing to all insurance companies.  Capture the correct charge for every service provided. Prevent denials of claims. Performs all the necessary tasks in HMS billing portal to ensure appropriate reimbursement.  Sample of the billing tasks in HMS to include the following, but not limited: Records a Service, Mark & Bill Service, Service Description Maintenance, Bill File Creation, Bill File Fix, Import Electronic Billing Records, print hardcopies of CMS1500 Health Insurance Claim Form and ADA and send to insurance company, and Insurance Company File maintenance, etc.

Claims Denial, Appeals, and Collections

Accurately audit the EOB’s (Explanation Of Benefits) for inappropriate reimbursement, denied, delayed or partially paid claims. Corroborate reversal of the insurance plan determination through the claims appeals process per the insurance plan’s provider handbook.  Maintain an insurance follow-up log of claims appeals.  Run accounts receivable report in HMS (Health Management System) by insurance company to keep track of the claims aging process. Follow-up in writing or by phone call with insurance plans to ensure collections of incorrectly denied or partially paid claims. Accurately post and document in HMS the denied claims and partial payments.  At last resort, file a complaint in the AHCA’s (American Health Care Association) complaint hub only with the written approval from your supervisor.

Provider Credentialing and Enrollment

Responsible for