Item C18 County of Monroe BOARD OF COUNTY COMMISSIONERS
r `� � Mayor David Rice,District 4
The Florida Ke S Mayor Pro Tem Craig Cates,District 1
Y �, Michelle Coldiron,District 2
ti Vacant,District 3
Holly Merrill Raschein,District 5
County Commission Meeting
February 16, 2022
Agenda Item Number: C.1 8
Agenda Item Summary #10196
REVISED AC -U : Replaced contract with final version.
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305)289-6342
N/A
AGENDA ITEM WORDING: Approval for a one (1) month extension to the existing
Employment Agreement with Nina Burgess for Fire Rescue EMS Billing Specialist position to
commence on February 19, 2022 and terminate on March 18, 2022. The extension will provide for
continued internal discussions regarding renewal term and conditions for the subsequent contract
term.
ITEM BACKGROUND:
Monroe County Fire Rescue currently employs two Billing Specialists that provide day-to-day
billing support for the processing of Trauma Star and Ground Ambulance documents to ensure an
efficient and accurate billing process. The first Billing Specialist was hired in July 2016 following
BOCC approval to bring the EMS billing function within the department instead of using an outside
3rd parry billing company. In 2017, following the Trauma Star expansion, the BOCC approved
hiring an additional Billing Specialist.
Due to a promotion which created an open position for a Fire Rescue EMS Billing Specialist, Nina
Stuart (now Burgess)was selected and hired for the position on February 19, 2020. The current term
of Nina Burgess' Employment contract expires on February 19, 2022. MCFR is requesting approval
for a one (1) month extension to the Employment Agreement at the existing salary of$48,000 while
internal discussions continue regarding the renewal terms and conditions for the subsequent contract
term.
PREVIOUS RELEVANT BOCC ACTION:
12/11/13: BOCC and BOG approved creating positions of EMS Billing Supervisor and EMS Billing
Specialist as Monroe County contract employees and to hire individuals into those positions;
providing authority for Fire Chief to execute contracts.
02/15/17: BOCC and BOG approved creating a second EMS Billing Specialist position as a Monroe
County contract employee.
06/21/17: BOCC and BOG approved the Employment Agreement for one additional Billing
Specialist.
12/11/19: BOCC and BOG approved the Employment Agreement for the promotion of Dina Stitt
from EMS Billing Specialist to EMS Billing Supervisor.
02/19/20: BOCC and BOG approved the Employment Agreement for Nina Stuart (now Burgess)to
fill the Fire Rescue EMS Billing Specialist position.
CONTRACT/AGREEMENT CHANGES:
Extension to Employment Agreement with Nina Burgess for EMS Billing Specialist position
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
EMS Billing Specialist Fire Rescue Job Description (Exhibit A)
02/19/2020 Agreement
Employment Contract-Amendment for EMS Billing Specialist Burgess -REV
FINANCIAL IMPACT:
Effective Date: 02/19/2022
Expiration Date: 03/18/2022
Total Dollar Value of Contract: $4,000.00 Base Salary plus benefits
Total Cost to County: $4,000.00
Current Year Portion: $4,000.00
Budgeted: Yes
Source of Funds: 11001 =78% and 11500 = 22%
CPI: No
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts:
In lieu of an annual merit or cost-of-living adjustment, the employee will be eligible for a financial
lump sum incentive based upon billing and collections performance; a max of 10% of base salary.
Revenue Producing: No If yes, amount: N/A
Grant: No
County Match: No
Insurance Required: No
Additional Details: N/A
02/16/22 101-11001 - MEDICAL AIR TRANSPORT $3,120.00
78%
02/16/22 141-11500 - FIRE& RESCUE CENTRAL $880.00
22%
Total: $4,000.00
REVIEWED BY:
James Molenaar Completed 01/31/2022 3:25 PM
Steven Hudson Completed 01/31/2022 4:06 PM
Purchasing Completed 01/31/2022 4:16 PM
Budget and Finance Completed 02/01/2022 8:58 AM
Maria Slavik Completed 02/01/2022 10:56 AM
Liz Yongue Completed 02/01/2022 1:54 PM
Board of County Commissioners Pending 02/16/2022 9:00 AM
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
NINA BURGESS F/K/A NINA STUART
FOR POSITION OF EMS BILLING SPECIALIST
WHEREAS, Nina Burgess, formerly known as Nina Stuart was selected and has been
employed as EMS Billing Specialist since February 19, 2020, and
WHEREAS, the current term of the employment agreement expires on February 19, 2022;
and
WHEREAS, the parties desire to extend the term of this employment agreement until
February 18, 2024, 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 5.a. of the original agreement s amended to read as follows;
a. The term of this agreement shall commence on February 19, 2022 and terminate
on February 18, 2024.
SECTION 2.All other provisions of the original employment agreement between Monroe County
Board of County Commissioners, Monroe County, Florida, Board of Governors of Fire &
Ambulance District 1, and Nina Burgess dated February 16, 2022, as amended, and not
inconsistent herewith, shall remain in full force and effect.
THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK.
Addendum No. Ito Employment Contract for Page 1 of 2
Billing Specialist
IN WITNESS WHEREOF, the parties have hereto set their hands and seals, in the
County of Monroe,Florida this 16th day of February 2022.
By: By:
NINA BURGESS Steven Hudson, Fire Chief
Date: Date:
BOARD OF COUNTY BOARD OF GOVERNORS OF FIRE
COMMISSIONERS OF MONROE AND AMBULANCE DISTRICT 1 OF
COUNTY, FLORIDA MONROE COUNTY, FLORIDA
By: By:
Date: Date:
James D. Digitally signed by James
ATTEST; D.Molenaar
KEVIN MADOK COUNTY CLERK Molenaar Date:2022.o2.0910:42:38
� -osao'
Approved as to Form and Legal Sufficiency
By: James D. Molenaar
as Deputy Clerk
Asst. County Attorney
Date: MONROE COUNTY ATTORNEY'S OFFICE
Addendum No. Ito Employment Contract for Page 2 of 2
Billing Specialist
C.18
County f � .�� ��� BOARD OF COUNTY COMMISSIONERS
Mayor David Rice,District 4
Mayor Pro Tem Craig Cates,District 1
The Florida Keys '
Y � �F' Michelle Coldiron,District 2
Vacant,District 3
--' Holly Merrill Raschein,District 5
County Commission Meeting
February 16, 2022
Agenda Item Number: C.18
Agenda Item Summary #10196
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342
N/A
AGENDA ITEM WORDING: Approval for a one (1) month extension to the existing
Employment Agreement with Nina Burgess for Fire Rescue EMS Billing Specialist position to
commence on February 19, 2022 and terminate on March 18, 2022. The extension will provide for
continued internal discussions regarding renewal term and conditions for the subsequent contract
term.
ITEM BACKGROUND:
Monroe County Fire Rescue currently employs two Billing Specialists that provide day-to-day
billing support for the processing of Trauma Star and Ground Ambulance documents to ensure an
efficient and accurate billing process. The first Billing Specialist was hired in July 2016 following
BOCC approval to bring the EMS billing function within the department instead of using an outside
3rd party billing company. In 2017, following the Trauma Star expansion, the BOCC approved
hiring an additional Billing Specialist.
Due to a promotion which created an open position for a Fire Rescue EMS Billing Specialist, Nina
Stuart (now Burgess)was selected and hired for the position on February 19, 2020. The current term
of Nina Burgess' Employment contract expires on February 19, 2022. MCFR is requesting approval
for a one (1)month extension to the Employment Agreement at the existing salary of$48,000 while
internal discussions continue regarding the renewal terms and conditions for the subsequent contract
term.
PREVIOUS RELEVANT BOCC ACTION:
12/11/13: BOCC and BOG approved creating positions of EMS Billing Supervisor and EMS Billing
Specialist as Monroe County contract employees and to hire individuals into those positions;
providing authority for Fire Chief to execute contracts.
02/15/17: BOCC and BOG approved creating a second EMS Billing Specialist position as a Monroe
County contract employee.
06/21/17: BOCC and BOG approved the Employment Agreement for one additional Billing
Specialist.
12/11/19: BOCC and BOG approved the Employment Agreement for the promotion of Dina Stitt
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C.18
from EMS Billing Specialist to EMS Billing Supervisor.
02/19/20: BOCC and BOG approved the Employment Agreement for Nina Stuart (now Burgess)to
fill the Fire Rescue EMS Billing Specialist position.
CONTRACT/AGREEMENT CHANGES:
Extension to Employment Agreement with Nina Burgess for EMS Billing Specialist position
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Employment Agreement- Amendment Contract Specialist Nina Stuart Expires 03.18.22
EMS Billing Specialist Fire Rescue Job Description (Exhibit A)
02/19/2020 Agreement
FINANCIAL IMPACT:
Effective Date: 02/19/2022
Expiration Date: 03/18/2022
Total Dollar Value of Contract: $4,000.00 Base Salary plus benefits
Total Cost to County: $4,000.00
Current Year Portion: $4,000.00
Budgeted: Yes
Source of Funds: 11001 =78% and 11500 = 22%
CPI: No
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts:
In lieu of an annual merit or cost-of-living adjustment, the employee will be eligible for a financial
lump sum incentive based upon billing and collections performance; a max of 10% of base salary.
Revenue Producing: No If yes, amount: N/A
Grant: No
County Match: No
Insurance Required: No
Additional Details: N/A
02/16/22 101-11001 - MEDICAL AIR TRANSPORT $3,120.00
78%
02/16/22 141-11500 - FIRE& RESCUE CENTRAL $880.00
22%
Total: $4,000.00
REVIEWED BY:
James Molenaar Completed 01/31/2022 3:25 PM
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C.18
Steven Hudson Completed 01/31/2022 4:06 PM
Purchasing Completed 01/31/2022 4:16 PM
Budget and Finance Completed 02/01/2022 8:58 AM
Maria Slavik Completed 02/01/2022 10:56 AM
Liz Yongue Completed 02/01/2022 1:54 PM
Board of County Commissioners Pending 02/16/2022 9:00 AM
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C.18.a
AMENDMENT NO. 1 TO EMPLOYMENT AGREEMENT a
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BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,
MONROE COUNTY, FLORIDA
BOARD OF GOVERNORS OF FIRE& AMBULANCE DISTRICT 1; AND
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NINA STUART
FOR POSITION OF EMS BILLING SPECIALIST X
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WHEREAS, Nina Stuart was selected and has been employed as EMS Billing Specialist
since February 19, 2020, and
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WHEREAS,the current term of the employment agreement expires on February 19, 2022;
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and v,
WHEREAS, the parties desire to extend the term of this employment agreement until X
March 18, 2022, and
WHEREAS, all other terms and conditions of the employment agreement are to remain
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unchanged, v,
NOW, THEREFORE, in consideration of the foregoing, it is mutually agreed as follows:
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SECTION 1. Subsection 5.a. of the original agreement s amended to read as follows; 2
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a. The term of this agreement shall commence on February 19, 2022 and terminate
on March 18, 2022. E
SECTION 2.All other provisions of the original employment agreement between Monroe County
Board of County Commissioners, Monroe County, Florida, Board of Governors of Fire &
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Ambulance District 1, and Nina Stuart dated February 16, 2022, as amended, and not inconsistent 2
herewith, shall remain in full force and effect.
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THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK.
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Addendum No. 1 to Employment Contract for Page 1 of 2
Billing Specialist
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C.18.a
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IN WITNESS WHEREOF, the parties have hereto set their hands and seals, in the 0
County of Monroe, Florida this 16th day of February 2022. °
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By. NINA STUART By. Steven Hudson, Fire Chief �.
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Date: Date: M
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BOARD OF COUNTY BOARD OF GOVERNORS OF FIRE
COMMISSIONERS OF MONROE AND AMBULANCE DISTRICT I OF _
COUNTY, FLORIDA MONROE COUNTY, FLORIDA
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By: By:
Date: Date: 0
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Digitally signed by o
ATTEST: James D. James D.Molenaar,Esq. .E
Date:2022.01.31 0
KEVIN MADOK, COUNTY CLERK Molenaar, Esq. 11:24:32-05'00' 03
Approved as to Form and Legal Sufficiency
By: James D. Molenaar E
Deputy Clerk
Asst. County Attorney
Date: MONROE COUNTY ATTORNEY'S OFFICE
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Addendum No. I to Employment Contract for Page 2 of 2
Billing Specialist
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C.18.b
MONROE COUNTY
K� S FLORIDA
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Job Description
To perform this job successfully; an indivrdual must be able to perform the essential job functions satisfactorily.
Reasonable accommodations may be made to enable individuals with disabiithes to perform the primary job functions
herein described. Since every duty associated with this position may not be described herein, employees may be 0)
required to perform duties not specifically spelled out in the job descnphon, but which may be reasonably considered
to be incidental in the performing of their duties just as though they were actually written out in this job description
Job Title: Billing Specialist, Fire Rescue EMS
Department: Monroe County Fire Rescue
Pay Grade: Contract
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FLSA Status: Non-exempt
JOB SUMMARY
The primary function of this position is, under the direction of the Fire Rescue EMS Billing W
Supervisor, to be responsible for report review, data entry and retrieval, and records
maintenance of an air and round EMS billing program; and for g g p g performing complex
administrative work within the division of Emergency Services. "
ESSENTIAL JOB FUNCTIONS
• Reviews ePCR reports to ensure complete and accurate patient demographic, trip, billing,
and insurance information; 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 electronic patient care reports. y
• 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) 2
waivers,and records requests. y
• Assists Billing Supervisor with collection actions, including contacting patients by phone and
arranging payments.
• Runs account aging and other related billing reports.
• Processes and posts Medicare,Medicaid,check,and credit card payments regularly.Reviews
and processes refunds as needed.
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• Processes Air Resident (Trauma Star)waivers.
• Processes legal records requests for patient care reports and response records. LU
• Performs monthly EMSTARS extract and data submission to Department of Health, State
EMS Division to comply with mandatory pre-hospital reporting requirements.
Monroe County,FL Billing Specialist,fore Rescue EMS Updated;4/16/2021
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C.18.b
Billing Speciallst,Flre Rescue EMS Page 2
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• 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.
• Processes RFPs, 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 E
deemed appropriate. CD
QUALIFICATIONS
Education and Experience:
Highschool Diploma or GED required. 3 years minimum of prior related work experience
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preferred.
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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 needed to gather and Interpret data where results/answers
can be found after analysis of several facts.
• Ability to use independent judgment 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.
• Ability to maintain regular internal and external contacts to carry out programs and to
explain specialized matters, y
• Abilityto maintain contact with officials at higherlevels on matters requiring cooperation, W
explanation, and persuasion, as well as with the public involving the enforcement of
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regulations, policies, and procedures. y
PHYSICAL DEMANDS W
The work is sedentary and requires exerting up to 10 pounds of force occasionally and/or
negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move
objects, including the human body.Additionally,the following physical abilities are required:
• Manual Dexterity: Picking, pinching, typing, or otherwise working, primarily with fingers LU
rather than with the whole hand as in handling.
• Mental Acuity: Ability to make rational decisions through sound logic and deductive
processes.
Monroe county,FL BlllIng specialist,Fire Rescue EMS Updated:4/16/2021
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C.18.b
Billing Specialist,Fire Rescue EMS
Page 3
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• 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 LU
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 including those W
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 terminal; and/or extensive E
reading.
Walking: Moving about on foot to accomplish tasks, particularly for long distances or
moving from one work site to another.
WORK ENVIRONMENT
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. ILU
Monroe County has the right to revise this job description at any time. This
description does not represent in any way a contract of employment. 2
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Em Date
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S .pervisor or Director Signature Date
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B rya n Cook Dat signed Bryan Cook
Date:e�0 12i.o�z9 Lazo xa
Director of Employee Service Signature Date
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L O.E Monroe County does not discriminate on the basis of race, color, national origin, gender, religion, age,
disability or military service in employment or the provision of services.
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Monroe County,FL Billing Specialist,Fire Rescue EMS Updated:4/16/2021
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DOUR,
p�......" Kevin Madok, CPA
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4 Clerk of the Circuit Court& Comptroller Monroe County, Florida
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DATE: March 6, 2020
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TO: Chief James Callahan
Fire Rescue/EMS
Cheri Tamborski =_
Executive Administrator
FROM: Pamela G. Hanco�C.
SUBJECT: February 19a'BOCCBOG Meeting
Attached is an electronic copy the following item(s) for your handling: L-
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C27/H1 Employment Agreement with Nina Stuart to fill the Fire Rescue EMS
Billing Specialist position. a,
Should you have any questions, please feel free to contact me at (305) 292-3550.
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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- packet Pg.727
C.18.c
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EMPLOYMENT AGREEMENT BETWEEN
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS;
THE BOARD OF GOVERNORS OF MONROE COUNTY y
FIRE &AMBULANCE DISTRICT 1,AND
NINA STUART
FOR THE POSITION OF EMS BILLING SPECIALIST
THIS AGREEMENT is entered into upon the date last below written by and between y
Monroe County,Florida,acting through its Board of County Commissioners(`BOCC"),apolitical
subdivision of the State of Florida, whose main business address is 1100 Simonton Street, Key
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West, Florida 33040; the Board of Governors of Monroe County Fire & Ambulance District 1
(collectively"County")and Nina Stuart("Employee"). E
WHEREAS,the position of EMS Billing Specialist is currently open; and
WHEREAS,the BOCC has solicited applicants for the position; and
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WHEREAS, Employee has interviewed and been selected for the position, and
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WHEREAS,the County has conducted an internal and external applicant search to fill the
open position and has selected Ms.Nina Stuart to fill the position; and
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WHEREAS,the parties desire to enter into a contract to become effective on February 19, --
2020.
NOW THEREFORE, in consideration of the mutual promises contained herein, the CO
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County and Employee set forth herein,it is mutually agreed as follows: cv
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1. EMPLOYMENT: Employee is hereby employed as the EMS Billing Specialist as a
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Contract Employee as that term is defined in Section 2.03 of the Personnel Policies &Procedures
Manual("Manual"). E
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.
Billing Specialist Employment Contract
(Nina Stuart) Page 1 of 9
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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. T
B. Upon termination of this Agreement,the Employee agrees to immediately surrender
all documents,information,property and assets to Monroe County Fire Rescue C'MCFR").
C. Due to the requirements of this position, Employee is required to be physically
present at the EMS Billing Office located at 490 63`d Street, Marathon, FL 33050 for a
minimum of 40 hours per week, y
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 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
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receive an annual salary in the amount of$48,000.
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B. Financial Incentive: In lieu of any annual merit or cost-of-living adjustment, the B
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Employee will be eligible for a financial lump sum incentive based upon billing and y
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%) E
of base salary.
C. Benefits: Except as otherwise set forth herein, the Employee shall also receive all
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benefits set forth in the Monroe County Personnel Policies&Procedures Manual
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("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
(Nina Stuart) Page 2 of 9
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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 of the Monroe County Personnel =
Policies and Procedures Manual, including the condition that the Employee
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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 LIL
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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.
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5. TERM OF AGREEMENT;TERMINATION; CANCELLATION; GENERAL
RELEASE:
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A. Normal Term. The normal term of this Agreement will be a period of twenty-four 0.
(24)months commencing February 19,2020 and terminating on February 19,2022. c
2
B. Extension of Time. The parties may extend the term of Agreement by written N
addendum to this Agreement.
C. Termination of Agreement:
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i. In entering into this Agreement,the Employee understands that she serves at 2
the pleasure of MCFR; and that the Employee can be terminated at any time
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upon thirty(30)days written notice by MCFR without cause. c®
ii. 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 ofthe business or operation of the County,including but not limited
,Billing Specialist Employment Contract
(Nina Stuart) Page 3 of 9
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C.18.c
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 y
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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 LU
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 st
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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
0.
entitled under Chapter 447,Florida Statutes.
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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 N
to payment for salary through the effective date of the resignation and any
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accrued annual and sick leave in accordance the Monroe County Personnel
Policies and Procedures. E
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 Ievels.
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
Billing Specialist Employment Contract
(Nina Stuart) Page 4 of 9
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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 y
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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") LU
as may be amended from time to time. To the extent there is a conflict between y
the terms of this Agreement and the Manual, the terms of this Agreement shall
prevail.
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B. If any provision, term, 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 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 LU
2
term or provision of this Agreement by the.other party shall not operate or be
.N
construed as a waiver of any subsequent breach or violation by the other party.
2
X
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 E
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.
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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, n
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,
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or agreements,whether oral or written, and by whomever made.
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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:
i. "Contractor"means an individual,partnership, corporation,or business
0.
entity that enters into a contract for services with a public agency and is
0
acting on behalf of the public agency as provided under s. 119.011(2).
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ii. "Public Agency"means a state, county,district,authority, or municipal
X
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:
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Public Records Compliance. Contractor must comply with Florida public records
laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of E
article I of the Constitution of Florida. The County and Contractor shall 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
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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 T
12
upon violation of this provision by the Contractor.Failure of the Contractor to abide
by the terms of this provision shall be deemed a material breach of this contract and
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the County may enforce the terms of this provision in the form of a court proceeding
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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. 2-
0
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.
c
ii. 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
X
provided by law.
iii. Ensure that public records that are exempt or confidential and
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exempt from public records disclosure requirements are not 2
disclosed except as authorized by law for the duration of the contract
N
term and following completion of the contract if the 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 shalt
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(Nina Stuart) Page 7 of 9
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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 y
12
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 must provide
the records to the County or allow the records to be inspected or
copied within a reasonable time.
If the Contractor does 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
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penalties under Section 119.10,Florida Statutes. 2
Contractor shall not transfer custody, release, alter, destroy or
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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
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111-IE_ CONTRACTOR'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS CONTRACT. CONTACT THE y
CUSTODIAN OF PUBLIC RECORDS. BRIAN BRADLEY, AT
(305)292-3470. 13It:11a1.E:1'-131t1 1'�e( 1)t? kt>! e'e at !, '-
F(..t►0Y. 1%40NROE COUNTY ATTORNErS OFFICE, III1Co
_
12th STRFrT,SUITE" 409.KEY WEST, FL 33040.
IN VrM'-'ES5 WHEREOF. thcalirdss(wve set their hands bnd seals,in the Count).of
IvIouroe.;-loridu this 9 t dry or� 4D?0. 2
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MONROE COUNTY FIRE RESCUE
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By:
James K,Cr11a1itrn, Flee Chief
WITNESS: EMPLOYEE
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By
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>? W MONROE COUNTY BOARD OF C&UNTY
D K. MONROE C'�OUNTY COMMISSIONERS
-- ---— — -. ---- -,�-=c:--- as
a.� eRuty Clerk vfayeir .. 2
MONROE COUNTY ATTORNEY BOARD OF GOVERNORS OF Flu.AND � . �
AMBULANCE DISTRICT I OF MONROE co_ o
COUNTY,F OR(DA
Assistsnt{ tan '.-wtq,1m" _y'1'. Ch u ,�L on
giiiing Spec-allot Employment Contract
(Nine Stuart) PCs,*9 of a
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Exhibit A
MONROE .COUNTY
JOB DESCRIPTION
Position Title: Fire Rescue EMS Bi,-Iing Specialist Date: 1214/2019 T
CONTRACT FLSA Status: Nonexem t Ctass Code:307-6
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.
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KEY RESPONSIBILITIES y
i. *Reviews ePCR reports to ensure complete-and accurate patient demographic,trip,billing,and
insurance information;refers incomplete or inaccurate records to EMS Quality Assurance. st
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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.
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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. o
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6. Runs account aging and other related billing reports,
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7. Processes and posts Medicare,Medicaid,check,and credit card.payments regularly. Reviews and o
processes refunds as needed.
8. *Processes Air Resident-(Trauma Star)waivers.
9. *Processes legal records requests for patient care reports and response records.
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10. *Performs monthly'EMSTARS extract and data submission to Department of Health, State EMS
Division to comply with mandatory pre-hospital reporting requirements.
11. *Maintains strictest.conftdentiality;adheres to all HIPAA guidelines/regulations andz
County{Department Policies and Procedures.
12. *Completes and maintains purchase orders,processes invoices,orders supplies,keeps inventory
records,processes mail.
13. *Processes RFPs,contracts,renewals,purchases,agenda items, special projects,and maintains records.
14. #Assists in budget preparation and monitoring expenses.
15. 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.
'ob.
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Exhibit A
Position Title:�Fire Rescue-EMS Billing Specialist Class Code: 307-6 Position Level: 307
KEY JOB REQUIREMENTS
Education: H.S. Diploma or GED required. Willing to become Certified Ambulance Coder within
one year of em to ment.
Experience: 3 to . ears ex erience as administrative assistant required. n
Leadership: Works from a general outline ofduties and responsibilities.Other employees assist me in
completing work.
Complexity: Performs professional-level work dealing with data,people,and technology that relates
to administrative,technical,scientific,engineering, accounting, legal,or managerial
skills.
Decision Making: Follows basic guidelines for operational activities. Makes decisions that govern the
activities and behaviors of staff members.My work directly impacts other workers,
citizens or both. LU
Relationships: Works with less than ten co-workers who are mostly engaged in the same activities.
Working Conditions: Works in a dynamic environment that requires employee to be sensitive to change and
res onsive to changing oats,priorities,and needs.
Dn Call May be required to provide disaster assistance during times of emergency in any capacity
Requirements: deemed appropriate.
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Position Title: Fire Rescue EMS Billing Specialist Class Code: 307-6 Position Level: 307
APPROVALS
Department Head:
Name: aj,%A Wt.S /A% Signature: Date:
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County Administrator: 0.
III
Name: P-94/llLY' CIIRlfirh Signature: Date: to•C�dr)�� o
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On this date I have received a copy of my job description ting to my employment with Monroe County.
Name: A�ri-ia Srrrxr} Signature: Date:
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