Ambulance Accounting Analyst

Ambulance Accounting Analyst

Location:

10750 Ulmerton Rd., Largo, FL 33774 Do you possess medical billing, accounting, financial, and analytical work experience?

This position involves highly complex medical billing, accounting, financial, and analytical work, performing a variety of specialized duties related to an ambulance billing revenue cycle. The position reports to a manager or supervisor within the Financial Services Division of the Safety and Emergency Services Department.

• Reconcile daily cash receipts, lockbox, credit card, and electronic remittance (ERA/EFT) postings to bank deposits and the billing system; research and clear variances and unapplied balances.

• Examine, reconcile, and properly apply claim remittances, Explanations of Benefits, bank statements, and invoices to patient accounts, maintaining a complete audit trail for each transaction.

• Research unidentified and misapplied funds to determine the correct account attribution and prepare the corresponding correcting entries and adjustments.

• Process and document refunds, offsets, adjustments, and write-offs, including determining the entity to whom a refund is due in over payment situations and ensuring approvals and supporting records meet County and audit requirements.

• Prepare fiscal and financial reports, including accounts receivable aging, payer‑level revenue and collections, outstanding balance and payment trend analysis, and reconciliation of accounts receivable balances to control totals.

• Prepare, audit, or compile computer‑generated spreadsheets, revenue tracking reports, daily deposit reconciliations, and revenue distribution reports for Division management and County Finance.

• Analyze and verify daily edit and exception reports, identifying and resolving posting, balancing, and data anomalies before they affect financial reporting.

• Conduct Quality Assurance (QA) audits of billing, payment posting, and cash‑handling functions for compliance with applicable regulations, internal controls, and the terms and conditions of specified funding or programs
• Resolve complex billing errors, misapplied funds, and other financial anomalies, including conducting applicable research and documenting findings.
• Perform functions associated with the later stages of the revenue cycle, such as claim appeals, inaccurate claim denials, payment errors, and over payment determinations.
• Support internal and external audits by compiling reconciliations, supporting schedules, and documentation requested by auditors, County Finance, and regulatory agencies.
• Write fiscal, billing, and cash‑handling processes and procedures that align with Division workflows and internal control requirements.
• Supervise, train, and provide technical support to subordinate staff, supervisors, and managers on accounting, reconciliation, and billing matters.
• Answer questions that involve searching for, abstracting, and manipulating technical financial data from multiple sources.
• Apply County, Department, and Division policies, procedures, and guidance in the commission of duties.
• Assist with billing and payment posting as needed.
• Serve as back‑up to co‑workers and may serve as back‑up for higher‑level employees.
• Perform other related job duties as assigned

Accounting, accounts receivable, or financial reconciliation, preferably in a medical billing environment, that includes conducting data analysis, reconciling accounts, resolving complex billing issues, and practical use of computer equipment.

Accounting, finance, business administration, or related field.

• Six (6) years of experience as described above; or

• An Associate’s degree and 4 years of…