Ambulance Accounting Analyst
Listed on 2026-09-21
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Accounting
Accounts Receivable/ Collections, Financial Reporting, Financial Compliance, Financial Analyst -
Finance & Banking
Accounts Receivable/ Collections, Financial Reporting, Financial Compliance, Financial 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.
MUST BE ABLE TO PASS AND MAINTAIN A LEVEL 2 CJIS BACKGROUND CLEARANCE What Would You Do?- 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
Experience: 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.
Degree
:
Accounting, finance, business administration, or related field.
- Six (6) years of experience as described above; or
- An Associate’s degree and 4 years of experience as described above; or
- A…
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