State of Florida

Utilizes Availity, United Healthcare, and Molina portals, and HMS (Health Management System) verification to ascertain insurance eligibility and performs tasks according to type of insurance category.. Upload x-rays and narrative form orthodontist to Dexis/Dentrix for Dentist Review.. Insurance - Upload to appropriate Medicaid portal based on insurance provider to include referral, narrative from Dentrix, and Pano image or x-ray.. Ryan White -Review authorization and verify insurance.. Work with Case Manager to make appointments for Ryan White clients.

senior clerk

<p>Requisition No: 828422 Agency: Department of Health Working Title: SENIOR CLERK - 64069761 Pay Plan: Career Service Position Number: 64069761 Salary: $32,760 - $33,280 Posting Closing Date: 06/19/2024 Total Compensation Estimator Tool Senior Clerk_64069761 People First Requisition 812788 Open Competitive Your Specific Responsibilities: The incumbent, a Senior Clerk, employee of the Florida Department of Health in DeSoto County (DOH-DeSoto), represents the agency and its mission and values. The incumbent is part of the organization and is expected to promote cooperation, courtesy and teamwork in a diverse environment. The Senior Clerk performs specialized clerical work, which requires independent decision-making. The employee must maintain current work knowledge and skills based on the Department of Health programs and policies. This position is classified as a sensitive position. Incumbent handles protected health information on a need-to-know basis following Department of Health Information Security and Privacy Policy and procedures. Employee abides by State/Federal laws governing health information. Employee is responsible to maintain confidentiality, security, privacy, and integrity of protected health information. This position is under the direct supervision of the Executive Dental Director. Coordinates daily operations of the front desk area to ensure smooth customer relations which include: Office Procedures Performs registration functions. Interviews clients to gather demographics information and to determine pay category, using mandated guidelines to assign appropriate sliding fee scale for clients with no insurance. Inputs and updates pertinent information including insurance status, if applicable, into the computerized system following set procedures. Utilizes Availity, United Healthcare, and Molina portals, and HMS (Health Management System) verification to ascertain insurance eligibility and performs tasks according to type of insurance category. Effectively conducts clinic and supplies clinician with accurate intake data making changes as necessary. Provides and ensures completeness of required intake forms, including HIPAA forms and inputs information in computerized system. Acts as front desk receptionist daily which includes initial screening of clients to determine needs to establish public health services and set up medical/other appointments. Accounts and scans daily encounter forms in the Health Management System (HMS). Maintain Medical Records Department to include records request, transfers, and scanning items into the system. Relaying paperwork to the clinic staff when needed. Pre-authorizations, authorizations and any records or transfers of information required for approval. Operates daily computer data entry equipment to input and retrieve alphabetical/numerical information in prescribed format, utilizing knowledge of various computer software packages and clinical systems. Operates and/or utilizes a variety of standard business machines and equipment, including the telecommunication terminals, calculators, copiers, faxes, etc. Fiscal Procedures Responsible for cashiering duties. Collects payment of services via cash, credit card, or check and issues computerized or manual receipts for services rendered. Prepares daily deposit, balancing monies received. Records medical client services, charges and payments, adjustments, as well as inputting such transactions into the computer system. Follows policy Petty Cash Fund (10APM32). Check out clients enters services.(Check and update demographics each visit) Operates daily computer data entry equipment to input and retrieve alphabetical/numerical information in prescribed format, utilizing knowledge of various computer software packages and clinical systems. Operates and/or utilizes a variety of standard business machines and equipment, including the telecommunication terminals, calculators, copiers, faxes. Responsible for inventory of materials and supplies used, requesting replacement of order with enough time for receipt prior to exhaustion of needs. Accept fees over the counter. If check is received, verify all information is correct, including date, amount, and signature. Immediately stamp check, issue receipt, and place check in assigned cashier drawer. If counter payment is made by credit card, verify signature on credit card. If no signature, verify driver's license or other form of picture ID. Print two credit card receipts, have customer sign one to be placed in cashier drawer and give one to customer. If credit card is received via fax, verify credit card authorization form is complete and accurate, run credit card and print only one receipt. Attach receipt to authorization form and place both in cashier drawer. When accepting cash payments over the counter, verify amount, check any bills over $20.00 with the counterfeit pen, issue receipt, and place cash in cashier drawer. At the end of each daily shift, close-out cashier drawer. Count cash and credit card receipts. Record information on the Daily Summary Sheet. Have summary sheet reviewed and verified for accuracy. Lock cashier drawer in safe and secure locking file cabinet. Dental Program Orthodontist - Send referrals and Pano image (from Dexis) when client referred for service not provided by DeSoto County Health Department. Upload x-rays and narrative form orthodontist to Dexis/Dentrix for Dentist Review. Endodontist - Send referrals and Pano image to endodontist when client referred for service not provided by DeSoto County Health Department. Receive x-ray and notes once the visit is completed. Contact client to schedule crown and collection of payment. Insurance - Upload to appropriate Medicaid portal based on insurance provider to include referral, narrative from Dentrix, and Pano image or x-ray. Once approval is received, upload into Dentrix/ HMS. Collections - Review the collections to MSB report ensuring services are correct. Jail - Work with jail facility to schedule appointments for inmates, coordinate payment and contract. Ryan White -Review authorization and verify insurance. Once reviewed return the authorization to the Case Manager with dental codes and prices. Upload into Dentrix. When approval from case manager is received upload into HMS. When the client is seen the care, plan is sent to case manager for approval. Work with Case Manager to make appointments for Ryan White clients. Once approved schedule client for treatment. Credentialing/Insurance - Works with Hernando billing hub and dental providers. Provides billing hub with all required documentation. School Program Assure that all consent forms are completed with signatures. Assure students are eligible for treatment. Check all insurances and documents on encounter forms. Make schedules for the respective schools to coincide with the School Schedules and Clinic Schedule. Prepare forms, encounters, labels, etc. for clinics. Scan all forms into their dental charts. Required Knowledge, Skills, and Abilities: Use of equipment and supplies related to the position such as computer, fax, copier, telephone, all office supplies etc. Human Relations: Work with others in a professional, considerate, and helpful manner. Projects a positive image of DOH-DeSoto and self. Initiative: Be self-confident, motivated, and enthusiastic drive to perform current job duties and undertake duties of greater responsibility. Responsive to Direction: Take and give direction; accept and deliver constructive criticism; and respond and implement suggestions for improvement. Flexibility: Accommodate changing situations or plans for satisfactory performance of the job. Able to change easily from one task to another. Technology: Navigate the Internet, use office suite and assorted software, and use of technology equipment. Communication (Oral & Written): Takes the initiative to communicate accurate, up-to-date plans and information to subordinates, peers, and management. Expresses thoughts clearly, both verbally and in writing. Listens and understands the views of others. Interpersonal Skills: Shows understanding, friendliness, courtesy, tact, empathy, cooperation, concern, and politeness to others; relates well to different people from varied backgrounds and different situations. Customer Service: Works with clients and customers (that is, any individuals who use or receive the services or products that your work unit produces, including the public, individuals who work in the agency, other agencies, or organizations outside the Government) to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations; knows about available products and services; is committed to providing excellence in products and services. Time Management: Manages a variety of responsibilities in a timely, efficient manner and can prioritize tasks. Ability to interact with the public telephonically. Must have knowledge of data entry, databases and filling systems with ability to multi-task with a premium on organizational skills. Qualifications: Minimum - The minimum qualifications include a valid Florida driver's license, high school diploma or equivalent, and excellent customer service skills. Preferred - The preferred candidate has the minimum qualifications and experience providing office / clerical / billing support in a dental office. Florida Department of Health Mission, Vision, and Values: Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation. Values: I nnovation: We search for creative solutions and manage resources wisely. C ollaboration: We use teamwork to achieve common goals & solve problems. A ccountability: We perform with integrity & respect. R esponsiveness: We achieve our mission by serving our customers & engaging our partners. E xcellence: We promote quality outcomes through learning & continuous performance improvement. Where You Will Work: DeSoto County Health Department Arcadia, FL The Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. The State's total compensation package for employees features 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, including health, life, dental, vision, and other supplemental insurance options; Retirement plan options, including employer contributions (For more information, please click  Flexible Spending Accounts; Tuition waivers; And more For a more complete list of benefits, including monthly costs, visit  Please be advised: Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process. This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions. Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website:  If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement. The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility. Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. VETERANS' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy 4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement. </p>

START NEW SEARCH