1st Amendment 06/19/2019 \,S couRc
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FAQ Kevin Madok, CPA
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DATE: July 10, 2019
TO: Chief James Callahan
Fire Rescue/EMS
Debbie Lofberg
Executive Administrator
FROM: Pamela G. Hancoc(i)C.
SUBJECT: June 19th BOCC Meeting
Attached is an electronic copy of the following item for your handling:
Cl/Hi 1st Amendment to Employment Agreement with Mayte Machado for the EMS Billing
Specialist from June 21, 2019 through July 24, 2020 with an increase in base pay from$48,000.00 to
$52,000.00 and no other changes in terms and conditions.
Should you have any questions, please feel free to contact me at (305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
AMENDMENT NO. 1 TO EMPLOYMENT AGREEMENT
BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,
MONROE COUNTY, FLORIDA,
BOARD OF GOVERNORS OF FIRE &AMBULANCE DISTRICT 1; AND
MAYTE REGLA MACHADO
FOR POSITION OF EMS BILLING SPECIALIST
WHEREAS, Mayte Machado was selected and has been employed as EMS Billing
Specialist since June 22, 2017, and
WHEREAS,the current term of the employment agreement expires on June 21, 2019; and
WHEREAS,the parties desire to extend the term of this employment agreement until July
24, 2020, and
WHEREAS, all other terms and conditions of the employment agreement are to remain
unchanged,
NOW, THEREFORE, in consideration of the foregoing, it is mutually agreed as follows:
SECTION 1. Subsection 3.a. of the original agreement is amended to read as follows;
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$52,000.00.
SECTION 2. Subsection 5.a. of the original agreement is amended to read as follows;
a. The term of this agreement shall commence on June 21, 2019 and terminate on
July 24, 2020.
SECTION 3.All other provisions of the original employment agreement between Monroe County
Board of County Commissioners, Monroe County, Florida, Board of Governors of Fire &
Addendum No. 1 to Employment Contract for Page 1 of 2
Billing Specialist
Ambulance District 1 and Mayte Regal Machado dated June 21 St, 2017, as amended, and not
inconsistent herewith, shall remain in full force and effect.
IN WITNESS WHEREOF,the parties have hereto set their hands and seals, in the
County of Monroe, Florida this 19th day of June, 2019.
id
By: l ak it By: „� �.a —
Mayte ' ErraP-ado es Callahan, ire Chief
Date: CP/a//.-o!q Date: (I/ 1 ( 1
BOARD OF COUNTY BOARD OF GOVERNORS OF FIRE
COMMISSIONERS OF MONROE AND AMBULANCE DISTRICT 1 OF
COUNTY,FLORIDA MONROE COUNTY,FLORIDA
By: By: z r .. -ri
Mayor Sylvia Murphy Mayor Bruce Halle o -, 4
Date: 5 it, J I Date: /T ZO 1? , o . I
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ATTEST: . • UIV ICP
KEVIN MADOK, COUNTY CLERK 4 ►,
By: flqiw .4
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Addendum No. 1 to Employment Contract for Page 2 of 2 ,
Billing Specialist
EXHIBIT A
MONROE COUNTY
JOB DESCRIPTION
Position Title: Fire Rescue EMS Billing Specialist Date: 08/30/13
FLSA Status: Nonexempt Class Code:
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 RESPONSIBILITIES
1.*Reviews ePCR 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.
3. *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 HIPAA guidelines/regulations and County/Department
Policies and Procedures.
10. *Completes and maintains purchase orders,processes invoices, orders supplies,keeps inventory records,
processes mail.
11. *Processes RFPs, 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
job.
Page 1 of 2
EXHIBIT A
Position Title: Fire Rescue EMS Billing Specialist Class Code: Position Level:
KEY JOB REQUIREMENTS
Education: H.S.Diploma or GED required.Willing to become Certified Ambulance Coder within
one year of employment.
Experience: 3 to 5 years experience as administrative assistant required.
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
assigned department.
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: Analytic: 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
completing a project
Communication Requires regular internal and external contacts to carry out programs 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 regulations,policies and procedures.
Managerial Skills: Involves no responsibility or authority for the direction of others.
Working Conditions/ Normal office situation. Typically sitting at a desk or table.
Physical Effort:
On Call None.
Requirements:
APPROVALS
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:
Page 2 of 2