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Item C02BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: June 11, 2014 Division: Emergency Services Bulk Item: Yes 0 No El Department: Fire Rescue Staff Contact Person: Chief, James Callahan / Deputy Chief, Gary Boswell 289-6088 AGENDA ITEM WORDING: Approval of a resolution to establish a financial bonus process for in-house EMS billing and collections contract employees in accordance with State Statute 215.425 and employment contracts. ITEM BACKGROUND: In December 2013, the BOCC authorized Monroe County Fire Rescue to bring EMS billings and collections in-house utilizing contract employees. In lieu of wage adjustments given to other county employees, the employment contracts specify they will only receive an annual bonus payment based upon improved billing and collections performance. State Statute 215,425 provides that any bonuses that will be paid toemployees must be implemented through a policy, ordinance, rule or resolution. PREVIOUS RELEVANT BOCC ACTION: At the February 19,2014 BOCC meeting, BOCC item C12 and BOG item G3, approval was given to enter into an Employment Contract fulfilling the newly created Billing Supervisor position. At the April 16, 2014 BOCC meeting, BOCC item C28 and BOG item G2, approval was given to enter into an Employment Contract fulfilling the newly created Billing Specialist position. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval For every 1% increase in collections over 1 % of base salary for each I% increase TTAL COST TOObase rate = bonus of 1% of base salary for COUNTY: in revenues collected over base COST: each employee, up to maximum of 10%. collection rate. INDIRECT COST: $ N/A BUDGETED: N/A Yes El No 11 Billing DIFFERENTIAL OF LOCAL PREFERENCE: N/A SOURCE OF FUNDS: Collections REVENUE PI ODUCING: Yes 0 No 11 AMOUNT PER MONTH TBD Year v APPROVED BY: County Attorney: O�'B/Purchasmg: LI Risk Management: DOCUMENTATION: Included: Z Not Required: El DISPOSITION: AGENDA ITEM #: RESOLUTION NO. -2014 A-1 CONTRACT EMPLOYEES WHEREAS, in February 2014, the Monroe County Board of County Commissioners ("BOCC") and the Board of Governors of Fire and Ambulance District No. I ("Board of Governors") approved an employment agreement for the position of Billing Supervisor, in order to bring the fanction of billing and collection for Monroe County Fire Rescue ground and air ambulance runs in-house; and WHEREAS, in April 2014, the BOCC and the Board of Governors approved an employment agreement for the position of Billing Specialist, also for the purpose of bringing the function of ambulance billing and collection in-house; and WHEREAS, both employment agreements set a base salary for each position-, and WHEREAS, both employment agreements then state that in lieu of any annual merit or cost -of -living adjustment, the employees will be eligible for a financial lump sum incentive based upon billing and collections performance; and WHEREAS, the billing and collections functions were brought in-house by the BOCC and the BOG in order to increase collections; and WHEREAS, a portion of the salary for each of the two positions (Billing Supervisor and Billing Specialist) is paid from the BOCC budget and a portion is paid by Board of Governors budget, because air ambulance revenues are deposited into the BOCC budget and ground ambulance revenues are deposited in the Board of Governors budget; and WHEREAS, the BOCC and the Board of Governors wish to establish a financial incentive program in order to incentivize the employees to increase collections; and WHEREAS, Section 215.425, Florida Statutes, provides that any bonuses that will be paid toemployees for work already performed must be implemented through a policy, ordinance, rule or resolution, which notifies the employees who will be eligible for the bonus in advance of eviarration period of the performance standards and the evaluation process by which the bonus will be awarded; and WHEREAS, Section 409.913(10), Florida Statutes, provides that payments for the services of billing agents or persons participating in the preparation of a Medicaid claim shall not be based on amounts for which they bill or on the amount the provider receives from Medicaid (Note: only 3.6 percent (3.6%) of Monroe County's collection revenues in the past twelve months ending February 2014 came from Medicaid); and WHEREAS, in the past 12 months excluding Medicaid, Monroe County collected $2.3 million for combined ground and air ambulance runs, which translates to 33,7% of amounts billed before adjustments; and WHEREAS, it is the intent of the legislative body to describe the financial incentive program for Fire Rescue billing personnel through this resolution, NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COMMISSIONERS OF MONROE COUNTY, FLORIDA, THAT 1. For the purpose of this resolution, the terms "bonus" and "financial incentive" are used interchangeably. 2. For the purpose of this resolution, the to "Collections" refers to collections from all sources not including Medicaid. 3. The initial time period covered by this financial incentive program for Billing Supervisor and Billing Specialist shall run from May 1, 2014 to April 30, 2015. Thereafter, each year, the evaluation period ("Evaluation Period") shall run from May I to April 30. 4. The average collection rate for air and ground ambulance combined during the time period March 1, 2013 through February 28, 2014 not including Medicaid accounts was 33,70% ("Baseline Collection Rate"). 5. For every one (1) percentage point increase in Collections as a percentage of non - Medicaid billed amounts over Baseline Collection Rate achieved by the end of the Evaluation Period, each employee shall receive a one-time lump sum bonus ("Bonus Amount") in the amount of one percent (1.0%) of the employee's unloaded base salary, up to a maximum increase of ten percent (10%) of the Baseline Collection Rate, which will translate to a maximum bonus of ten percent (10%). By way of illustration, if Collections increase from 33.70% at the beginning of the Evaluation Period to 38.70% measured at the end of the Evaluation Period, which is an increase of five (5) percentage points, each employee would receive a bonus in the amount of five percent (5%) of the unloaded base salary. Note, for the purposes of this illustration, a five percentage point increase in collections would total approximately $340,000 in additional billing revenues and would equate to a lump sum bonus of $5,300 for the two employees combined in the first year. 6. The bonus amounts will be calculated one time annually, at the end of the Evaluation Period. The bonus amounts will not be added to the base salary and will not be used for computing average weekly wage for any other purpose, including but not limited to FRS, unemployment or workers' compensation, 7. The bonus amounts shall be paid by the BOCC and the BOG in proportion to the amounts collected by and for each entity at the end of the Evaluation Period. Each bonus program must be approved by the BOCC and the BOG. If, for any reason, the bonus program is not approved by resolution by both entities, then each entity will be responsible for paying its portion of the Bonus Amount, i.e,, the total Bonus Amount, multiplied by the percentage of Collections attributable to ground ambulance (in the case of the Board of Governors) or air ambulance (in the case of the BOCC). 8® This bonus program shall continue from year to year until revised by the BOCC and shall apply to whatever personnel hold the position of Billing Supervisor and Billing Specialist. In subsequent years, the starting point, i.e., the Baseline Collection Rate, shall be the collection rate for the preceding twelve months, i.e., May I to April 30. 9. To be eligible for the bonus, the employee must beemployed by Monroe County on the day that the Bonus Amount is paid out, following the end of the Evaluation Period. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, this day of June 2014. Mayor, Sylvia Murphy Mayor Pro Tem, Danny Kolhage Commissioner Heather Carruthers Commissioner George Neugent Commissioner David Rice (SEAL) ATTEST: AMY REAVILIN, CLERK M BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA 0 Mayor, Sylvia Murphy MONROE COUNTY ATTORNEY Page 3 of 3 A OVEN T XASTO FOR L YNTHIA L HALL ASSISTANT COUNTY ATTORNEY 5- Date— -- — EMPLOYMENT AGREEMENT BETWEEN MONROE COUNTY, FLORIDA) BOARD OF GOVERNORS OF FIRE & AMBULANCE DISTRICT 1, AND JAN PURDIN FOR POSITION OF EMS BILLING SUPERVISOR THIS AGREEMENT is entered into upon the date last below written by and between Monroe County, Florida, ("County") acting through its Board of County Commissioners ("Board or "BOCC"), a political subdivision of the State of Florida, whose main business address is 1100 Simonton Street, Key West, Florida 33040, the Board of Governors of Monroe County Fire & Ambulance District I (collectively, "County"), and Jan Purdin ("Employee-). WHEREAS, the position of EMS Billing Supervisor is currently open; and WHEREAS, the BOCC has solicited applicants for the position; and WHEREAS, Employee has interviewed and been selected for the position; and WHEREAS, negotiations between the County and Employee have resulted in this mutually acceptable Employment Agreement ("Agreement"); NOW THEREFORE, in consideration of the mutual promises contained herein the County and Employee set rorth herein, it is mutually agreed as follows: 1. EMPLOYMENT: Employee is hereby employed as the EMS Billing Supervisor as a Contract Employee as that term is defined in Section 2.03 of the Personnel Policies & Procedures Manual ("Manual"), 2. DUTIES: Duties of the Employee will be as set forth in the Job Description attached hereto as Exhibit A, the provisions of which are incorporated herein by reference. A. The Employee shall not disclose to any person, party, or entity any confidential, proprietary, time - sensitive, or non-public (including HIPAA) information relating to the County or its operations unless required by law to do so. B. Upon termination of this Agreement, the Employee agrees to immediately surrender all documents, infennation, property and assets to MCFR- 3. COMPENSATION AND BENEFITS: County and Employee agree that the position of EMS Billing Supervisor will be a full-time position deemed exempt under the Fair Labor Standards Act. Work hours performed, annual leave, personal leave, and sick leave hours taken will be documented on a form or forms to be provided by County. A. Base Pay: In return for performance of the duties set forth in Exhibit A, including but not limited to specific duties assigned by Monroe County Fire Rescue C'MCFR") from time to time, Employee shall receive an annual salary in the amount of $57,18 1. B. Financial Incentive: In lieu of any annual merit or cost -of -living adjustment, the Employee will be eligible for a financial lump sum incentive based upon billing and collections performance. After the conclusion of each fiscal -year period, a comparison of EMS user fee revenue will be conducted to determine whether a supplemental lump -sum payment is warranted for increased revenue receipts, not to exceed ten percent (10%) of base salary. Jan Purdin Agreement Page 1 of 8 C. Benefits: Except as otherwise set forth herein, the Employee shall also receive all benefits set forth in the Monroe County Personnel Policies A Procedures Manual ("Manual") as said Manual may beg ended from time to time excluding health, accidental death A dismemberment and life insurance coverage under County group policies. 1. Health insurance maybe included in the Agreement at some future date in the event the Employee has a qualifying event such as losing her non -Monroe County health insurance coverage. D. Transportation and Business -related Travel: Employee agrees that she will be responsible for providing her own motor vehicle for transportation. MCFR agrees to budget and pay for the costs incurred by the Employee in attending approved seminar and continuing education courses as may be necessary or appropriate to employee's duties and responsibilities under this Agreement. For travel and expenses for authorized and approved business purposes, other than commuting to and from work, Employee may request reimbursement of actual expenditures where documented evidence is provided detailing the actual expenses incurred in accordance and consistent with Monroe County policy. 1. Employee agrees to obtain EMS Ambulance Billing and Coding Certification within six months of execution of this agreement. Tuition costs related to the certification is eligible for reimbursement by MCCR of the actual expenditure. 4. SOLE EMPLOYMENT: The Employee agrees that he or she will not perform any work, consulting services, or other activities for any other person or entity, whether for remuneration or at no charge, without the prior express written approval of MCFR. 5. TERM OF AGREEMENT; TERMINATION; CANCELLATION; GENERAL RELEASE: A. file rmalTerm. The normal to of this Agreement will be a period of forty-two (42) months, commencing on the final date of execution ofthis Agreement. B. Extension of Time, The parties may extend the to of Agreement by written addendum to this Agreement. C. Ten-nination of Agreement: 1. In entering into this Agreement, the Employee understands that she serves at the pleasure of Monroe County; and that the Employee can be terminated at any time upon thirty (30) days written notice by County Administrator without cause. In entering into this Agreement the Employee also understands that she can be terminated at any time upon 24 hours written notice by County Administrator for cause. As used in this paragraph, the to "for cause" will mean (a) dishonesty with respect to the business and operation of the County; (b) confirmed violation of the County's drug policy; (c) refusal to cooperate in an investigation regarding any aspect of the business or operation of the County, including but not limited to an investigation which is conducted by or at the express direction of the BOCC; (d) conviction of a crime which is classified as a felony or a crime involving moral turpitude; (a) gross neglect or willful and intentional misconduct; (B conviction of a crime; (g) violation of a provision of the Monroe County Code; or (M breach of any material to or condition of this Agreement by the Employee. 3. The Employee further understands that in the event oft: ination, the Employee is free to apply to the County for any other position then currently open and the County is free to consider the Employee for any open position, but that County has no obligation to place the Employee in another position, and specifically has no obligation to place the Employee in a position of equivalent or comparable salary, grade, or benefits. In entering into this Agreement, the Employee therefore specifically waives the right to utilize the grievance procedure set forth in Sections 9 and 10 of the Manual; House ]an Purdue Agreement Page 2 of 8 Bi I I No. 2658, Chapter 69-1321, the Monroe County Career Service Council; as well as any rights to which a Monroe County employee would otherwise be entitled under Chapter 447, Florida Statutes. 4. Resignation. In the event the Employee resigns from the position prior to the normal expiration date of this Agreement, the Employee shall be entitled only to payment for salary through the effective date of the resignation and any accrued annual and sick leave in accordance with Monroe County Personnel Policies and Procedures. 6a ATTORNEYS' FEES AND COSTS: In the event of any litigation initiated by either party, the prevailing party shall receive reasonable attorneys' fees, costs of litigation, and related expenses, both at the trial and appellate levels. 7. GOVERNING LAW; ATTORNEYS FEES AND COSTS; VENUE: This Agreement is made in the State of Florida and will be governed by Florida law. This Agreement may be signed in more than one counterpart, in which case each counterpart will constitute an original of this Agreement. Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Agreement. Wherever used herein, the singular will include the plural, the plural will include the singular, and pronouns will be read as masculine, feminine, or neuter as the context requires. Monroe County, Florida gill be the proper venue for any litigation involving this Agreement. This Agreement is not subject to arbitration. 8. OTHER TERMS AND CONDITIONS: A. Except as set forth herein, the Employee is subject to all terms and conditions set forth in the Monroe County Personnel Policies & Procedures Manual ("Manual") as may be amended from time to time. To the extent there is a conflict between the terms of this Agreement and the Manual, the terms of this Agreement shall prevail. 13. If any provision, term, or portion of this Agreement shall be field to be unconstitutional, illegal, invalid, or enforceable by a court of competent jurisdiction, the remaining terms, conditions, and portions shall remain in full force and effect as if originally agreed to without the term, condition., or portion that has been determined to be unconstitutional, illegal, invalid or unenforceable. C. The waiver by either the County or the Employee of a breach or violation of any to or provision of this Agreement by the other party shelf not operate or be construed as a waiver of any subsequent breach or violation by the other party. D. The County and Employee acknowledge that each has shared equally in the review of this Agreement and, accordingly, no court or administrative hearing officer shall construe any provision of this Agreement more strictly against one party over the other party, and every to condition, covenant, and provision of this Agreement shall be construed simply according to its fair meaning. Employee further acknowledges that she or he has had the Agreement reviewed by an attorney, or has been given the opportunity to do so and has waived that opportunity. E. This Agreement incorporates and supersedes all prior negotiations, correspondence, conversations, agreements, and/or understandings applicable to the matters contained herein. It is further agreed that there are no commitments, agreements, inducements, or understandings concerning the subject matter of this Agreement that are not contained herein, and no deviation from the terms hereof shall be predicated upon any prior representations, offers, promises, inducements, or agreements, whether oral or written, and by whomever made. F. The text herein constitutes the entire agreement between the Employee and the County, and this agreement cannot be amended except by a written docusnent mutually agreed to and executed with the Ian Purdin Agreement Page 3 of 8 same formalities as this Agreement. The rights and obligations of this Agreement are personal to tile Employee and cannot be assigned or transferred. 9. CONTRACTS; PUBLIC RECORDS— F.S. 119.0701: A. For purposes of this section, the term: I . "Contractor means an individual, partnership, corporation, or business entity that enters into a contract for services with a public agency and is acting on behalf of the public agency as provided tinder a. 119,011 (2). 2. "Public agency" means a state, county, district, authority, or municipal officer, or department, division, board, bureau, commission, or other separate unit of government created or established by law. B. in addition to other contract requirements provided bylaw, each public agency contract for services must include a provision that requires the contractor to comply with public records laws, specifically to: 1. Keep and maintain public records that ordinarily and necessarily would be required by the public agency in order to perform the service. 2. Provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. 3. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. 4. Meet all requirements for retaining public records mid transfer, at no cost, to the public agency all public records in possession of the contractor upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the public agency in a format that is compatible with the information technology systems of the public agency. C. If a contractor does not comply with a public records request, the public agency shall enforce the contract provisions in accordance with the contract. IN WITNESS WHEREOF, the parties hereto have set their hands and seals, in the County of Monroe, Florida, this 19'h day of February 2014. Jan Purdin Agreement Page 4 of 8 CONTRACTED EMPLOYEE: JAN PUR-DIN By: Date z.I� ASSISTANT MONROE COUNTY ATTORNEY: CYNTHIA HALL AFF"VuD '4 5 -M 170A-9- By: Date: I - I14. BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: —*17aoir, �S�ylvia �Murphy M Date:-15 O?�p C-i lz CI'S MONROE COUNTY FIRE CHIEF: JAMES K. CALLAHAN By: 400. <r. D a I e: BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT I OF MONROE COUNTY, FL 0 Mayor / Chairman ATTEST: AMY HEAVILIN, COUNTY CLERK M '---d r-- � . I Jan Purdin Agreement Page 5 of 8 Exhibit A EMS Billing Supervisor Jan Purdin Agreement Page 6 of 8 MONROE COUNTY JOB DESCRIPTION Position Title- Fire Rescue EMS Bilfindu ervisor Date: �08/30/13 FLS� fttbta� 'a. E, mo� not Cie. u, C04 GENERAL DESCRIPTION This position is responsible for the implementation and management of an EMS billing program, to include: the review of patient care reports; verification of trip data, patient demographic, payment, and insurance information; selection of procedure codes, diagnosis/condition codes and modifiers; claims submission and follow up; and account postings and receivables for air and ground ambulance transports. This position may either be career service or as a contracted position. If a contract position, it does not have career service rights and may be terminated in accordance with the to of the contract. KEY RESPONSIBILITIES 1. *Develops, implements, and manages EMS billing program. 2. *Drafts and submits for approval and adoption ambulance billing policies and procedures. 3.*Reviews or supervises review of ePCR reports to ensure complete and accurate patient demographic, trip, billing, and insurance information; refers incomplete or inaccurate records to EMS Quality Assurance. 4,*Ensures appropriate pre -billing assignment of condition codes, modifiers, levels ofservice, and other relevant claim data. 5, *Liaisons with area hospitals to facilitate accurate collection of billing information. 6. *Prepares and ensures accurate, timely and compliant claims submissions. 7. *Reviews and analyzes remittance advice, identifies and investigates denied and rejected claims, identifies possible resolutions and resubmits or appeals claims if applicable. 8. *Posts payments to accounts, reconciles lockbox, and completes billing to secondary payers and/or patient. 9.*Initiates collection actions including contacting patients by phone, arranging payments, and correcting and resubmitting clairns to third party payers. 10. *Analyzes and manipulates data, writes queries and generates billing, financial, and incident reports using a variety of software and reporting programs. 11. *Monitors and keeps abreast of changes to governmental regulations and medical billing and coding standards, and modifies billing process as necessary to ensure compliance, and maximize reimbursements. 12. *Periodically surveys comparable air and ground ambulance service providers to determine their service fees and charges, and makes recommendations for modifications of County rates as necessary. 13. *Works closely with the County's Internal Audit Department during ambulance billing audits. 14. *Supervises Air Resident (Trauma Star) waiver program, 15. *Prepares annual air and ground ambulance, and Air Resident Waiver write-offs for presentation and action by the BOCC. 16, *Maintains strictest confidentiality; adheres to all FHPAA guidelines/regulations and County/Department Policies and Procedures. 17, Performs other similar and related Emergency Services duties as assigned or required. * Indicates an "essential" job function. The information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Jan Purdin Agreement Page 7 of 8 Position Title: Fire Rescue EMS Billin Sue isor lass Code: Position Leveh IQ KEY JOB REQUIREMENTS Education: Associates degree or acceptable combination of education and management experience is required. Certified Ambulance Coder preferred. Kxperience: 5 to 7 years experience in medical billing and coding required, at least 3 of which most have involved ambulance billing A minimum of three years related professional mana a ernentlsopem y ex perience re aired. Impact of Actions.- Makes recommendations or decisions which usually affect the assigned department, but may at times affect operations, services, individuals, or activities of others outside of the ased Ined department. Complexity Analytic: Work is non -standardized and widely varied requiring the interpretation and application of a substantial variety of procedures, policies, and/or precedents used in combination. Frequently, the application of multiple, technical activities is employed; therefore, analytical ability and inductive thinking are required. Problem solving involves identification and anal wis of diverse issues. Decision Alaking: Highly Complex: Supervision is present to review established departmental and/or divisional objectives. Independent judgment is required to recommend departmental or divisional objectives, evaluate new approaches to problem solving, and assess changing facts or conditions. Communication Requires regular internal and external contacts to carry out program and to explain with Others: specialized matters. Occasionally requires contact with officials at higher levels on matters requiring cooperation, explanation and persuasion, as well as with the public involving the enforcement of re ulations, Policies and procedures. Afanagerial Skills: Responsible for providing limited supervision for one or more functions within a department. Formally plans, assigns, directs, and coordinates the work of these functions. Typically responsible for performing some non -supervisory duties in addition to supervisory responsibilities. May perform staff evaluations and make recommendations re g din 'pay and/or erformance. tourking Condition.51 Normal office situation. Typically sitting at a desk or table. Oil Call As required. Requirements: APPROVALS Department Dead- Name- Signature: Date: Division Director: Name: Signature: Date: Counly Administrator - Name: Signature: Date: On this date I have received a copy of my job description relating to to mployment with Monroe County. Name: Ja-y%-L- P,u 1"A so Signature- Date: Jan Purdin Agreement Page 8 of 8 EMPLOYMENT AGREEMENT BETWEEN MONROE COUNTY, FLORIDA, BOARD OF GOVERNORS OF FIRE & AMBULANCE DISTRICT 1, AND AMANDA II SON FOR POSITION OF EMS BILLING SPECL&LIST THIS AGREEMENT is entered into upon the date last below written by and between Monroe County, Florida, ("County") acting through its Board of County Commissioners ("Board" or "BOCC"), a political subdivision of the State of Florida, whose in business address is 1100 Simonton Street, Key West, Florida 33040, the Board of Governors of Monroe County Fire & Ambulance District I (collectively, "County"), and Amanda Harbinson C'Employee"). VVHEREAS, the position of EMS Billing Specialist is currently open; and WHEREAS, the BOCC has solicited applicants for the position; and WHEREAS, Employee has interviewed and been selected for the position; and WHEREAS, negotiations between the County and Employee have resulted in this mutually acceptable Employment Agreement ('Agreement"), NOW THEREFORE, in consideration of the mutual promises contained herein between the County and Employee set forth herein, it is mutually agreed as follows: 1. EMPLOYMENT: Employee is hereby employed as the EMS Billing Specialist as a Contract Employee as that to is defined in Section 2.03 of the County's Personnel Policies & Procedures Manual ("Manual"). 2. DUTIES: Duties of the Employee will be as set forth in the Job Description attached hereto as Exhibit A, the provisions of which are incorporated herein by reference. a. The Employee shall not disclose to any person, party, or entity any confidential, proprietary, time - sensitive, or non-public (including HIPAA) information relating to the County or its operations unless required by law to do so. b. Upon termination of this Agreement, the Employee agrees to immediately surrender all documents, inksunatiort, property and assets to the County. c. Due to the requirements of this position, Employee is required to be physically present at the EMS Billing Office located at 490 63d Street, Marathon, Florida 33050 for a minimum total 40 work hours per week. 3° COMPENSATION AND BENEFITS: County and Employee agree that the position of EMS Billing Specialist will be a full-time position deemed non-exempt under the Fair Labor Standards Act. Work hours performed, annual leave, personal leave, and sick leave hours taken will be documented on a form or forms to be provided by County. a. Base Pay: In return for the performance of duties set forth in Exhibit A, including but not limited to specific duties assigned by Monroe County Fire Rescue ("MCFR!) from time to time, Employee shall receive an annual base salary in the amount of 41,787.12. EMPLOYMENT AGREEMENT / AMANDA HARBINSON Page 1 of 5 b. Financial Incentive: In lieu of any annual merit or cost -of -living adjustment, the Employee will be eligible for a financial lump sum incentive based upon billing and collections performance, After the conclusion of each fiscal -year period, a comparison of EMS user fee revenue will be conducted to determine whether a supplemental lump -sum payment is warranted for increased revenue receipts, not to exceed ten percent G 0%) of base salary. c. Benefits: Except as otherwise set forth herein, the Employee shall also receive all benefits set forth in the Monroe County Personnel Policies & Procedures Manual C'Manual") as said Manual may be amended from time to time. d. Transportation and Business Related Travel: Employee agrees that she will be responsible for providing her own motor vehicle for transportation. MCFE, agrees to budget and pay for the costs incurred by the Employee in attending approved seminar and continuing education courses as may be necessary or appropriate to employee's duties and responsibilities under this Agreement and in accordance with County Policy. L Employee agrees to obtain EMS Ambulance Billing and Coding Certification within 12 months of execution of this agreement. Tuition costs related to the certification are eligible for reimbursement by MCFR of the actual expenditure in accordance with Section 2.11 of the Monroe County Personnel Policies and Procedures Manual, including the condition that the Employee must reimburse the cost of tuition if Employee terminates from the County within one year of completion of the certificate course. 4. SOLE EMPLOYMENT: The Employee agrees that he or she will not perform any work, consulting services, or other activities for any other person or entity, whether for remuneration or at no charge, without the prior express written approval of the County Administrator. 5. TERM OF AGREEMENT; TERMINATION; CANCELLATION; GENERAL RELEASE: a. Normal Term. The normal to of this Agreement will be a period of forty-two (42) months, commencing on the final date of execution of this Agreement. b. Extension of Time. The parties may extend the to of Agreement by written addendum to this Agreement. c. Ternimation of Agreement: i. In entering into this Agreement, the Employee understands that she serves at the pleasure of Monroe County; and that the Employee can be tenninated at any time upon thirty (30) days written notice by County Administrator without cause. ii. In entering into this Agreement, the Employee also understands that she can be terrninated at any time upon 24 hours written notice by County Administrator for cause. As used in this paragraph, the term "for cause" will mean (a) dishonesty with respect to the business and operation of the County; (b) confirmed violation of the County's drug policy; (c) refusal to cooperate in an investigation regarding any aspect of the business or operation of the County, including but not limited to an investigation which is conducted by or at the express direction of the BOCC; (d) conviction of a crime which is classified as a felony or a crime involving moral turpitude; (a) gross neglect or willful and intentional misconduct; (f) conviction of a crime; NO violation of a provision of the Monroe County Code; or (h) breach of any material term or condition of this Agreement by the Employee. EMPLOYMENT AGREEMENT/ AMANDA HARBINSON Page 2 of 5 iii. The Employee Rather understands that in the event of termination, the Employee is free to apply to the County for any other position then currently open and the County is free to consider the Employee for any open position, but that County has no obligation to place the Employee in another position, and specifically has no obligation to place the Employee in a position of equivalent or comparable salary, grade, or benefits. In entering into this Agreement, the Employee therefore specifically waives the right to utilize the grievance procedure set forth in Sections 9 and 10 of the Manual; House Bill No. 2658, Chapter 69- 1321, the Monroe County Career Service Council; as well as any rights to which a Monroe County employee would otherwise be entitled under Chapter 447, Florida Statutes. iv. Resignation. In the event the Employee resigns from the position prior to the normal expiration date of this Agreement, the Employee shall be entitled only to payment for salary through the effective date of the resignation and any accrued annual and sick leave in accordance with Monroe County Personnel Policies and Procedures. 6. ATFORNEYS' FEES AND COSTS: In the event of any litigation initiated by either party, the prevailing party shall receive reasonable attorneys' fees, costs of litigation, and related expenses, both at the trial and appellate levels. 7, GOVERNING LAW; ATTORNEY'S FEES AND COSTS; VENUE: This Agreement is made in the State of Florida and will be governed by Florida law. This Agreement may be signed in more than one counterpart, in which case each counterpart will constitute an original of this Agreement, Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Agreement. Wherever used herein, the singular will include the plural, the plural will include the singular, and pronouns will be read as masculine, feminine, or neuter as the context requires, Monroe County, Florida will be the proper venue for any litigation involving this Agreement. This Agreement is not subject to arbitration. S. OTHER TERMS AND CONDITIONS: a. Except as set forth herein, the Employee is subject to all to and conditions set forth in the Monroe County Personnel Policies & Procedures Manual C'Manual") as may be amended from time to time. To the extent there is a conflict between the to of this Agreement and the Manual, the to of this Agreement shall prevail. b. If any provision, to or portion of this Agreement shall be held to be unconstitutional, illegal, invalid, or enforceable by a court of competent jurisdiction, the remaining terms, conditions, and portions shall remain in full force and effect as if originally agreed to without the to condition, or portion that has been deternimed to be unconstitutional, illegal, invalid or unenforceable. c. The waiver by either the County or the Employee of a breach or violation of any to or provision of this Agreement by the other party shall not operate or be construed as a waiver of any subsequent breach or violation by the other party. d. The County and Employee acknowledge that each has shared equally in the review of this Agreement and, accordingly, no court or administrative hearing officer shall construe any provision of this Agreement more strictly against one party over the other party, and every term, condition, covenant, and provision of this Agreement shall be construed simply according to its fair meaning. Employee further acknowledges that she or he has had the Agreement reviewed by an attorney, or has been given the opportunity to do so and has waived that opportunity. EMPLOYMENT AGREEMENT / AMANDA HARBINSON Page 3 of 5 a. This Agreement incorporates and supersedes all prior negotiations, correspondence, conversations, agreements, and/or understandings applicable to the matters contained herein. It is forther agreed that there are no commitments, agreements, inducements, or understandings concerning the subject matter of this Agreement that are not contained herein, and no deviation from the to hereof shall be predicated upon any prior representations, offers, promises, inducements, or agreements, whether oral or written, and by whomever made. f. The text herein constitutes the entire agreement between the Employee and the County, and this agreement cannot be amended except by a written document mutually agreed to and executed with the same formalities as this Agreement. The rights and obligations of this Agreement are personal to the Employee and cannot be assigned or transferred. 9. CONTRACTS; PUBLIC RECORDS —F.S. 119.0701: a. For purposes of this section, the term: "Contractoe, means an individual, partnership, corporation, or business entity that enters into a contract for services with a public agency and is acting on behalf of the public agency as provided under a. 119.011 (2). ii. "Public agency" means a state, county, district, authority, or municipal officer, or department, division, board, bureau, commission, or other separate unit of government created or established by law. b. In addition to other contract requirements provided by law, each public agency contract for services must include a provision that requires the contractor to comply with public records laws, specifically to: i. Keep and maintain public records that ordinarily and necessarily would be required by the public agency in order to perform the service. ii. Provide the public with access to public records on the same to and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. iii. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. iv. Meet all requirements for retaining public records and transfer, at no cost, to the public agency all public records in possession of the contractor upon teurrination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the public agency in a format that is compatible with the information technology systems of the public agency. c. If a contractor does not comply with a public records request, the public agency shall enforce the contract provisions in accordance with the contract. 10. IN WITNESS WHEREOF, the parties hereto have set their hands and seals, in the County of Monroe, Florida, this .L6"Aal ofAgril. 2014. EMPLOYMENT AGREEMENT/ AMANDA HARBINSON Page 4 of 5 I%! I 1 11 R1.1-1111 By. D a t a:# it b4l I q14 ASSISTANT MONROE COUNTY ATTORNEY: CYNTHIA HALL ARprgved as mr t gfp- By: Date: ;wit Z's BOARD OF COUNTY COMMISSIONERS OF BOARD OF GOVERNORS OF FIRE AND MONROE COUNTY, FLORIDA AM13ULANCE DISTRICT I OF MONROE COUNTY, FLORIDA By: Mayor Sylvia Murphy m Mayor / Chaimian P ATTEST: AMY HEAVELIN,CO UNTY CLERK ME mmmum EMPLOYMENT AGREEMENT / AMANDA HARBINSON Page 5 of 5 MONROE COUNTY JOB DESCRIPTION Position Title: Fire Rescue EMS Billin S ecialist ' Date: 08/30/13 Status: None—xem—ot----TC—la—ss—Code: ' 8- GENERAL DESCRIPTION Working under the direction of the Fire Rescue EMS Billing Supervisor, this position is responsible for report review, data entry and retrieval, and records maintenance of an air and ground EMS billing program-, and for performing complex administrative work within the division of Emergency Services, KEY RESPONSIBILITIEES I. *Reviews eP`CR reports to ensure complete and accurate patient demographic, trip, billing, and insurance information; refers incomplete or inaccurate records to EMS Quality Assurance, 2. *Verifies or assigns condition codes, modifiers, levels of service, and other relevant claim data, 1 *Scans and attaches biomedical and supporting trip records to electronic patient care reports. 4. *Greets customers in person and by telephone, receives account payments, and assists customers as necessary in the completion of insurance forms, Air Resident (Trauma Star) waivers, and records requests. 5. *Assists Billing Supervisor with collection actions, including contacting patients by phone and arranging payments. 6. *Processes Air Resident (Trauma Star) waivers. 7. *Processes legal records requests for patient care reports and response records. 8. *Performs monthly EMSTARS extract and data submission to Department of Health, State EMS Division to comply with mandatory pre -hospital reporting requirements. 9. *Maintains strictest confidentiality; adheres to all HIP AA guidelines/regulations and County/Department Policies and Procedures. 10. *Completes and maintains purchase orders, processes invoices, orders supplies, keeps inventory records, processes mail. I I. *Processes RPs, contracts, renewals, purchases, agenda items, special projects, and maintains records. 12. *Assists in budget preparation and monitoring expenses. 13. Performs other similar and related Emergency Services duties as assigned or required. * Indicates an "essential" job function. The information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this iob. =Posi le: Fire Rescue EMS Billing S2ecialist Mass bode: KEY JOB REQUIREMENTS Education: H.S. Diploma or GED required. Willing to become Certified Ambulance Coder within one L �year of _emsloyment. trative assistant Leaired,..... Impact ofActions: Makes recommendations or decisions which usually affect the assigned department, but may at times affect operations, services, individuals, or activities of others outside of the ass Complexity: Varied: Work is complex and varied and requires the selection and application of technical and detailed guidelines. Problems are not easy to identify, but are similar to those seen before. Moderate analytic ability is needed to gather and interpret data where results/answers can be found after analysis of several facts. Solutions can often be found by using methods chosen before in other situations. Decision Making, alytic: Supervision is present to establish and review broad objectives relative to basic position duties or departmental responsibilities. Independent judgment is required to study previously established, often partially relevant guidelines; plan for various interrelated activities; and coordinate such activities within a work unit or while com2leting a pr2ject Communication Requires regular internal and external contacts to carry out programs and to explain ivith Others: specialized matters. Occasionally requires contact with officials at higher levels on matters requiring cooperation, explanation and persuasion, as well as with the public involvi a the enforcement of rerrulations, policies and 2rocedures. Managerial Skills: Involves no responsibility or authority for the direction of others. Working Conditionsl Normal office situation. Typically sitting at a desk or table. Ph sisal � ort; On Call None. --------- -- ---- - --- de: Position Level: Department Head: Name: Signature: Date: Division Director: Name: Signature: Date: County Administrator: Name: Signature: Date: On this date I have received a copy of my job description relating to my employment with Monroe County, Name: Signature: Date: