Fiscal Support Specialist

Under the general direction of the Assistant County Administrator, provides supporting services for the Health Department including timecard processing, medical billing, accounts receivable and payable, grant reporting, bank deposits, and journal entries.

Provide timely and accurate processing of medical billing including, but not limited to:Billing insurance providers that include Medicaid, Medicaid HMO, Medicare, third party, and private insurance companies.

• →Verify patient insurance.
• →Organize and report billed amounts, rejections, write-offs, and uncollected revenue.
• →Reconcile billed provider payments.
• →Follow-up on billing rejection and incorrect payments.
• →Create billing sheets and insurance forms.
• →Facilitate staff training on billing procedures.
• →Invoice area agencies for clinic services provided to their employees.

Provide timely and accurate payment processing of accounts payables including, but not limited to:

• →Process invoices, payment vouchers, agreements and contractual payments.
• →Reconcile records with internal employees and management, or external vendors or customers.
• →Review staff receipts and requests for payments for accuracy and proper documentation.
• →Prepare Purchase Order requests.
• →Reconcile procurement card.

Participate in program audits.
Process all accounts receivables including, but not limited to:

• →Receipt revenue and prepare bank deposits.
• →Reconcile vendor statements and correspond with vendors or departments as necessary.
• →Monitor aged revenue and work with customers in past due status to collect on unremitted payments.
• →Recommend actions to resolve any discrepancies.

Provides reports/assistance to HR and the Payroll/Administrative Services Specialist as needed. Assist employees with HR/Payroll issues as needed or direct them to the correct County Department.

• →Verify timecard accuracy biweekly.
• →Analyze timecards, verify and review payroll entry

Perform general accounting responsibilities including, but not limited to:

• →Assist with year-end accruals and reversals.
• →Investigate questionable data.
• →Maintain Petty Cash.
• →Maintains files and records.

Participates in team and general staff meetings.
Assesses own needs for professional growth and participates in education that increases knowledge and skills in area of responsibilities.
Produces general correspondence as required.
Performs other duties as assigned.

• →None

• Knowledge normally acquired through the completion of specialized training in accounting practices/principles.
• Knowledge normally acquired through the completion of specialized training in medical billing practices/principles.
• Experience in medical billing and general accounting practices.
• Computer skills necessary to effectively utilize word processing, accounting, and spreadsheet software systems.
• Mathematical ability to make moderately complex mathematical calculations with accuracy.
• Ability to work independently and problem-solve various issues.
• Interpersonal skills necessary to effectively communicate with other county personnel and the general public.
• Mental ability to frequently handle simultaneous projects requiring concentration and attention to detail with frequent distractions due to people and/or telephone calls. Incumbent is frequently required to handle pressures related to meeting deadlines, fulfilling scheduling requirements, etc.

Hybrid Work Classification: Hybrid Eligible
Flexibility Classification: Flexible Schedule Eligible

• Normal office environment with little discomfort due to fumes, dirt, dust and the like.
• Work includes minimal exposure to extreme hot or cold weather conditions.
• Work includes minimal exposure to noise.
• Intermittent or cyclical work pressures are frequently experienced.
• Extended work day (beyond eight hours/day) are infrequently required.