08/18/2021 Agreement Kevin Madok, CPA
9
you . Clerk of the Circuit Court& Comptroller Monroe bounty, Florida
DATE: August 31, 2021
TO: Chief Steve Hudson
Fire Rescue/EMS
Cheri Tamborski
Executive Administrator
FROM: Pamela G. Hancock, D.C.
SUBJECT: August 18t' BOCC Meeting
Attached is an electronic copy of the following item for your handling:
C12/H1 Employment Agreement with Dixie "Sandy" Roussin to fill a vacant Fire
Rescue EMS Billing Specialist position.
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
EM[PLOYMENT AGREEMENT BETWEEN
THE OE COUNTY BOARDOF COUNTY CO SSIO ;
BOARDTHE OF GOVERNORS OF MONROE COUNTY
FIRE&AMBULANCE DISTRICT Ij AND
D "S Y"ROUSSIN
FOR THE POSITION OF EMS BILLING SPECIALIST
THIS AGREEMENT is entered into upon the date last below written by and between
'Monroe County,Florida, ' g through its'Board of County Commissioners("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 1
(collectively"County")and Dixie"Sandy"Roussin("Employee"}.
WHEREAS,the position of EMS Billing Specialist is currently open;and
the BOCC has solicited applicants for the position; and
Employee has interviewed and been selected for the positron,and
the County has conducted an internal and external applicant search to fill the
open position and has selected Dixie"Sandy"Roussin to fill the position;and
WEEREAS9 the parties desire to enter into a contract to became eff-ective on July 12,
2021.
NOW THEREFORE, in comidpration of the mutual promises contained herein, 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 term is defined in Section 2.03 of the Personnel Policies&Procedures
Manual
CiManual").
2. D : 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.
Billing Specialist Employment Contract
(Dixie"Sandy'Roussin) Page 1 of 9
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,information,property and assets to Monroe County Fire Rescue("MCFWI.
C. Due to the requirements of this position, Employee is required to be physically
present at the EMS Billing Office located at 490 63'' Street, Marathon, FL 33050 for a
minimum of 40 hours per week.
3. COMPENSATION AND BENEFITS: County and Employee agree that the position
of EMS Billing Specialist will be a frill-time position deemed non-exempt under the Fair Labor
Standards Act. Work hours performed,annual leave,personal Ieave,and sick leave hours taken
will be documented on a form or forms to be provided by the County,or by another method as
designated by the 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 MCFR from time to time, Employee shall
receive an annual salary in the amount of$48,000.
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 billing and collections performance
review 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%a)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
("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. MCFR agrees to
budget and pay for the costs incurred by the Employee in attending approved seminar and
Billing Specialist Employment Contract
(Dixie"Sandy'Roussin) Page 2 of9
continuing education courses as may be deemed necessary or appropriate to employee's
duties and responsibilities under this Agreement and in accordance with County policy.
i.Employee agrees to obtain EMS Ambulance Billing and Coding Certification,
within 12 months of the 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 ofthe Monroe County Personnel
Policies and Procedures Manual,including the condition that the Employee
must reimburse the cost of tuition if Employee terminates from Monroe County
within,one(1)year of completion of the 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 MCFR..
5. TERM OF AGREEMENT;TERMINATION; CANCELLATION; GENERAL
RELEASE:
A. Normal Term. The normal term of this Agreement will be a period of twenty-four
(24)months commencing July 12,2021 and terminating on July 11,2023.
B. Extension of Time. The parties may extend the term of Agreement by written
addendum to this Agreement.
C. Termination of Agreement:
i.In entering into this Agreement,the Employee understands that she serves at
the pleasure of MCFR, and that the Employee can be terminated at any time
upon thirty(30)days written notice by MCFR without cause.
I In entering into this Agreement, the Employee also understands that she can
be terminated at any time upon 24 hours written notice by MCFR 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
Billing Specialist Employment.Contract
(Dixie"Sandy"Roussin) Page 3 of
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; (e) gross neglect or willful and intentional
misconduct; (f) conviction of a crime; (g) violation of a provision of the
Monroe County Code; or(h) breach of any material term or condition of this
Agreement by the Employee.
iii. The Employee further 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 the Monroe County Personnel
Policies and Procedures.
6. ATTORNEY'S 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 Agreemef
is made in the State ofFlorida 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 am not intended to expand or restrict
Billing Spetiallst Employment Contract
JDb(1e"Sandy"Roussin) Page 4 of 9
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,
f ' 'ne, or neuter as the context requires. Moproe County, Florida will be the proper venue for
any Iitigation 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")
and Monroe County Fire Rescue Standard Operating Procedures as may be
ended 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.
B. If any provision, term, or portion of this Agreement shall be field to be
unconstitutional, illegal, invalid, or enfarceable by a court of competent
jurisdiction, the ` ` 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
term 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 aclmowledes 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.
Billing Specialist Employment Contract
(pixie"Sandy"Roussin) Page 5 of 9
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 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 ftwisferred.
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 under s. 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, specifidally:
Public Records Compliance. Contractor must comply with Florida public records
laws, including but not limited to Chapter 119,Florida Statutes and Section 24 of
article I of the Constitution of Florida.The County and Contractors allow and
permit reasonable access to, and inspection of, all documents, records, papers,
letters or other"Public record" materials in its possession or under its control
Billing Specialist Employment Contract
(Dixie"Sandy" Roussln) Page 6 of 9
subject to the provisions of Chapter 119,Florida Statutes,and made or received by
the County and Contractor in conjunction with-this contract and related to contract
performance. The County shall have the right to unilaterally cancel this contract
upon violation of this provision by the Contractor.Failure of the Contractor to abide
by the to of this provision shall be deemed a material breach of this contract and
the County may enforce the terms ofthis provision in the form of a court proceeding
and shall, as a prevailing party, be entitled to reimbursement of all attorney's fees
and costs associated with that proceeding, This provision shall survive any
termination or expiration of the contract. The.Contractor is encouraged to consult
with its advisors about Florida Public Records Law in order to comply with this
provision.
'Pursuant to F.S. 119.0701,and the terms and conditions of this contract, the
Contractor is required to:
i. Keep and maintain public records that would be required by the
County to perform the service.
I Upon receipt-from the County's custodian of records,provide the
County with a copy of the requested records or allow the records to
be inspected or copied within a reasonable time 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 for the duration of the contract
term and following completion of the contract ifthe contractor does
not transfer the records to the County.
iv. Upon completion of the contract,transfer,at no cost,to the County
all public records in possession of the Contractor or keep and
maintain public records that would be required by the County to
perform the service. If the Contractor transfers all public records to
the County upon completion of the contract, the Contractor shall
Billing Specialist Employment Contract
(Dixie"Sandy" Roussin) Page 7 of 9
destroy any duplicate public records that are exempt or confidential
and exempt from public records disclosure requirements. If the
Contractor keeps and maintains public records upon completion of
the contract, the Contractor shall meet all applicable requirements
for retaining public records. All records stored electronically must
be provided to the County,upon request from the County's custodian
of records, in a format that is compatible with the information
technology systems of the County.
V. A request to inspect or copy public records relating to a County
contract must be made directly to the County,but if the County does
not possess the requested records, the County shall immediately
notify the Contractor of the request,and the Contractor mustprovide
the records to the County or allow the records to be inspected or
copied within a reasonable time.
If the Contractor flocs not comply with the County's request for
records, the County shall enforce the public records contract
provisions in accordance with the contract, notwithstanding the
County's option and right to unilaterally cancel this contract upon
violation of this provision by the Contractor.A Contractor who fails
to provide the public records to the County or pursuant to a valid
public records request within a reasonable time may be subject to
penalties under Section 119.10,Florida Statutes.
Contractor shall not transfer custody, release, alter, destroy or
otherwise dispose of any public records unless or otherwise
provided in this provision or as otherwise provided by law.
IF THE CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119,FLORIDA STATUTES,TO
Blillng Specialist Employment Contract
(Dixie"Sandy'Roussin) Page 8 of 1
THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS CONTRACT, CONTACT THE
CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY, AT
(305)292-3470. BRADLEY-BRIANOMONROECOUNTY-
FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE, 1111
12th STREET, SUITE 408, KEY WEST, FL 33040.
IN WITNESS WHEREOF,the parties have set their hands and seals, in the County of
Monroe, Florida this 30- 1-day of(14 cs -.,, 2021.
o (67.ktf.;\
0.' '•" VALERI A KOLESSARt Notary Public•State of Florida tMONROE OUNTY FIR ' > SCUE
�T Commission H HH 145959 r
o� a'' My Comm.Expires Aug 15,2025 I
I Bonded through National Notary Assn. i /� �`
By:
C
Steven C. Hudson,Fire Chief
WITNESS: EMPLOYEE
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411.16F14
-.--: By: A --. c-)
As Deputy Clerk Mayor --
MONROE COUNTY ATTORNEY BOARD OF GOVERNORS OF FIRE AND
Approved as to form and content: AMBULANCE DISTRICT 1 OF MONROE
COUNTY, FLORIDA
4t.t..,,,,e-
By: By:
Assistant County Attorney Mayor/Chairperson
/..1:71,F.guNry ATTOF3NEY'� �,FORM
Billing Specialist Employment Contract
PED•OJ. ..
(Dixie"Sandy"Roussin) ASSI- •- ••UNTYATTORNEY Page 9 of 9
Date 8/30/21
MONROE COUNTY'
F 31DA
LOr
Job Description
To perfonn ms job successifulty afY nljjj 1 r)e abfp fo '#dofrn the ossqnrjd1 "130 fur7etions sabsfactc,"Wily
Reasonable arcommodations Maybe Onazle to enable Sndiv,,duafs iwth disabilibes to piripfcorrY,Me Pornary,lob fun Ctpons
herwri described Since every duty asscioated with this Vasit-in ,nay nor be describeo hereerr erriployees rriay be
requirecir to pelfbm duties not specifically spelled out art the loft descvpfion but which rr4y be reasonably conslaered
to be incidental in the performing of thotf(Juties just as though they were actualfy wrIten out in this job clescniobon
Job Title-. Billing Specialist, Fire Rescue EMS
Department: Monroe County Fire Rear le
Pay Grade; Contract
FLSA Status: Non-exempt
�MA�RY
The primary function of this position rs, under the direction of the, Fire Rescue EMS Billing
Supervisor, to be 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,
ESS�NT
• Reviews ePCR reports to ensure complete and accurate patient dernographic, trip, billing,
and insurance Wormation: refers incomplete or inaccurate, records to EMS Quality
Assurance.
• Verifies or assigns condition codes,modifiers,levels of service,and other relevant claim data.
• Scans and attaches biomedical and supporting trip records to eiectronk:patient care reports.
• 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,
• Assists Billing Supervisor with collection actions, including contacting patients by phone and
arranging payments,
• Runs account aging and other related blihng reports,
• Processes and posts Medicare,Medicaid,check,and credit card payments regularly, Reviews
and processes refunds as needed.
• Processes Air Resident (Trauma Star) waivers.
• Processes legal records requests for patient care reports and response records.
QJ, Performs monthly EMSTARS extract and data submission to Department of Health, State
EMS Division to comply with mandatory pre hospital reporting requirements,
Monroe County rL Billing Sp,��[Ah"t, F,rk,Rp, Cue EMS Updaied 41,1612021
BUbg spas R t,Fire Rescue Elms Page Z
■ Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations and
County/Department policies and Procedures.
• Completes and maintains purchase orders, processes Invoices, orders supplies, keeps
Inventory records,processes mail.
m Processes Ri Fs, contracts, renewals, purchases, agenda items, special projects, and
maintains records.
• Assists In budget preparation and monitoring expenses.
• Performs other related Job duties as assigned.
• May be required to provide disaster assistance during times of emergency in any capacity
deemed appropriate.
QUALEFi Ti �5
Education and perie ce:
Highschool Diploma or GE:D required. S years minimum of prior related work experience
preferred
Special Qualifications:
Certified Ambulance Coder within one year of employment.
Knowledge,Skills and Abilities:
• Ability to make 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,
• Ability to use and apply technical and detailed guidelines.
• Moderate analytic ability Is deeded to gather and Interpret data where results/answers
can be found after analysis of several'fa .
• Ability to usei independent judgment to study previously established, often partlaily,
relevant guidelines;plan forvarlous Interrelated activities;and coordinate such activities
within a work unit or while completing a projecL
• Ability to maintain regular Internal and external coritacts to carry out programs and to
explain specialized matters.
e Abliltyto maintain 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.
`the work Is sedentary and requires exerting up to 1.0 pounds of force occasionally and/or
negligible amount of Force frequently or constantly to lift, carry,push, pull or otherwise move
oblects,Including the human body.Additionally,the following-physicalabilities are required:
• "Manual Dexterity: Picking,pinching,typing,or otherwise working,primarily with fingers
rather then with the whole hand as in handling,
• Mental Aculty: Ability to make rational decisions through sound logic and deductive
processes.
Monroe County.FL $IIUng Spedaftt Fire Rescue EMS Updated:4/16/2Q21
Billing 'mist,Fire Rescoe EMS —---------- Page 3
# Repetitive Motion: Substantial movements(motions) of the wrist, hands, and/or fingers,
* Speaking-, Expressing or exchanging ideas by means of the spoken word including,the
ability to convey detailed or important spoken instructions to other workers accurately
and concisely,
* Talking,: Expressing or exchanging ideas by means of the spoken word includlng those
activities in which they must convey detailed or important spoken instructions to other
workers accurately, loudly, or quickly,
* Visual Acuity: Have close visual acuity to perform an activity such as; preparing and
analyzing data and figures; transcribing; viewing a computer terrninah; and/or extensive
reading,
G Walking: Moving about on foot to accomplish tasks, particularly for long distances or
moving from one work site to another.
WDRK QPY_Yt_QAMLNT
Work is performed in a dynamic environment that requires sensitivity and responsiveness to
changes that include goals, priorities, and needs of the organization and position.
Monroe Croun ty has the right to revise this jo:b description at on y time. This
description does not represent in any way a contract of employment.
,)
Employed Sign sere Date
Spervisor or Director Signature Date
DBIk"lly�igrwd bv 9 ya,,Cwk
Bryan Cook Date:2021 a7 29 1020',J4
Director of Employee Service Signature Date
LQ& Monroe County does not discriminate on the basis of race, color, norionai origin, gender, religion, age,
disability or military service in employment or the provision of services.
Monroe Cc unty,FL Billing spec�atlst.rfre Rescue EMS Updated:4/1612,021