29090700 - MD-PEDS-DEI

Updated: 24 days ago
Location: Gainesville, FLORIDA
Deadline: 04 Apr 2024

Classification Title:

Administrative Assistant II

Job Duties Data Entry, Internal Provider Claims
  • Verifies patient financial status to identify those enrolled in Florida Medicaid Managed Health Care system and Children’s Medical Services (CMS)
  • Assists with a follow-up to any charge entry or claims matching issues until resolution is reached
  • Follows the process set up by the National Center for Educational Statistics (NCES) program management team and Information Technology (IT) to implement the most efficient and effective method of data entry
Epic Billing
  • Check patient Medicaid information when needed to provide current information for billing
  • Provide backup for any registrations and/or guarantor accounts not set up
  • Work with Intake Coordinator and assistant to solve any issues with new patient accounts
  • Keep Early Steps EPIC Work Queues empty by checking on any errors, deleting duplicate entries, etc.
  • Submit and keep up with help tickets for any duplicate accounts or other errors encountered
  • Communicate with the Billing and Accounts Receivable (BAR) team as necessary for billing resolutions
  • Monitor and assist with any denied Medicaid Managed Care claims
  • As needed, support the review of targeted case management notes to ensure appropriate billable services and corresponding ICD-10 and CPT codes are used
  • Key charge data into the appropriate database.  Responsible for clean claim submission, including working on any edits that may be encountered.  Enter outpatient charges completely and accurately into the system
  • Assist in tracking down and ensuring that public and private funding sources have been exhausted before contracted dollars
  • Stay current with annual coding updates by attending periodic meetings, seminars, and classes, as well as reviewing publications to improve coding skills.  Remain current on coding changes and become a master in these specialized areas of coding.
Florida Medicaid
  • Run monthly client reports to check on the Medicaid status of each client
  • Note any changes in Medicaid patients’ coverage (Managed Medical Assistance (MMA) switches, etc.) using monthly report
  • Update all changes to Medicaid coverage in ESDS and Epic.
  • Keep track of termed dates, checking for reinstatement on a monthly basis
  • Verify coverage for staff and providers, as needed

Program Fiscal Activities
  • Travel and Expenses: Collect and process expense reports and note approvals and payments; keep updated in shared drive folders
  • Accounts Payables & External Claims Payments Backup: Processing invoices in myUFMarketplace
  • Purchasing Card (p-card) Holder & Reconciler: Process supply purchases and reconcile p-card charges
Credentialing
  • Liaison with UF Credentialing for service coordinators and direct service staff.
  • Back-up assistance with general fiscal & office duties:  scanning, BDI entry, record requests, mail delivery, and distribution. Assist the intake team in entering patient information into EPIC and send the first contact letter
Expected Salary:

$18.00-$20.00 per hour

Minimum Requirements:

High school diploma or equivalent and four years of appropriate experience.

Preferred Qualifications:
  • Knowledge of Individuals with Disabilities Education Act (IDEA), Part C Early Intervention.
  • Working knowledge of child development, family dynamics, developmental disabilities, and factors that place infants/ toddlers at risk for developmental delays.
  • Communication and interpersonal skills that are effective, respectful, and sensitive concerning a diverse and multicultural population of children, clients and co-workers.
  • Strong computer skills - comfortable in using Microsoft Suite: Outlook, Excel, Word and PowerPoint and databases.
  • Ability to function under pressure in a fast-paced human services environment.
  • Must be capable of dealing with periodic cyclical workload pressures and levels of responsibility.

Special Instructions to Applicants:

In order to be considered, you must upload your cover letter and resume.

The University of Florida is committed to non-discrimination with respect to race, creed, color, religion, age, disability, sex, sexual orientation, gender identity and expression, marital status, national origin, political opinions or affiliations, genetic information and veteran status in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.

This is a time limited position.

This position is eligible for veteran’s preference. If you are claiming veteran’s preference, please upload a copy of your DD 214 Member Copy 4 with your application for consideration. See our Veteran's Preference Page for more specific information.

Application must be submitted by 11:55 p.m. (ET) of the posting end date.

Health Assessment Required: No

 



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