Item C21 C21
BOARD OF COUNTY COMMISSIONERS
COUNTY of MONROE
u,.. 9 Mayor Craig Cates,District 1
The Florida Keys Mayor Pro Tern Holly Merrill Raschein,District 5
Michelle Lincoln,District 2
� - James K. Scholl,District 3
' David Rice,District 4
Board of County Commissioners Meeting
June 21, 2023
Agenda Item Number: C21
2023-1023
BULK ITEM: Yes DEPARTMENT: Fire Rescue
TIME APPROXIMATE: STAFF CONTACT: Chief Callahan
AGENDA ITEM WORDING: Approval to execute First Addendum to Employment Agreement
with Dixie "Sandy" Roussin for Fire Rescue EMS Billing Specialist position with an increase in salary
from $48,000 to $52,000 to commence on July 12, 2023 and terminate on July 11, 2025.
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.
At this time, MCFR is requesting approval to execute a First Addendum to Employment Agreement
with Dixie "Sandy" Roussin which will commence on July 12, 2023 and terminate on July 11, 2025.
Further, MCFR is requesting approval for an increase in annual salary from $48,000 to $52,000.
PREVIOUS RELEVANT BOCC ACTION:
08/18/21: BOCC and BOG approved ratification of Employment Agreement for Fire Rescue Billing
Specialist position that needed to be filled due to resignation of one of the EMS Billing Specialists.
06/21/17: BOCC and BOG approved the Employment Agreement for one additional Billing Specialist.
02/15/17: BOCC and BOG approved creating a second EMS Billing Specialist position as a Monroe
County contract employee.
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.
CONTRACT/AGREEMENT CHANGES:
908
First Addendum to Employment Agreement with Dixie "Sandy" Roussin for EMS Billing Specialist
position
STAFF RECOMMENDATION: Approve
DOCUMENTATION:
Roussin, Dixie Sandy - Expires 7-11-2023.pdf
First Addendum to Employment Agreement with Sandy Roussin - 07.12.2023 through 07.11.2025.pdf
FINANCIAL IMPACT:
101-11001 Medical Air 78% $40,560 06.21.2023
Transport
141-11500 Fire & Rescue 22% $11,440 06.21.2023
Central
909
, I .
caUOU rare i}1.\
a ` p Kevin Madok, CPA
q
Clerk of the Circuit Court& Comptroller— Monroe County, Florida
koe ou"'Y
�•�1.�'`K`4g.J.J�
DATE: August 31, 2021
TO: Chief Steve Hudson
Fire Rescue/EMS
Cheri Tamborski
Executive Administrator
FROM: Pamela G. Hancock, D.C.
SUBJECT: August 1.8"" BOCC Meeting
Attached is an electronic copy of the f(,,)lk)AN'ing item ft,>r vour 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 fi-ee 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,Florid,-gg07O
305-294-4641 305-289-6027 305-852-7145 305-852-7145 910
EM[PLOYMENT AGREEMENT BETWEEN
THE MONROE COUNTY BOARD OF COUNTY COMMSSIONERS;
THE BOARD OF GOVERNORS OF MONROE COUNTY
FIRE&AMBULANCE DISTRICT Ij AND
DEM"SANDY"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,acting through its*Board of County Commissioners C'BOCC"),a political
subdivision of the State of Florida, whose main business address is 1100 Simonton Stree4 Key
West, Florida 33040; the Board of Governors of Monroe County Fire & Ambulance District I
(collectively"County'),and Dixie"Sandy"Roussin("Employee').
WHEREAS,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,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 become eff-ective on July 12,
2021.
NOW THEREFORE, in considpration. 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 CManuar).
2. DUTEES: 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
911
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("MCFR"}.
C. Due to the requirements of this position, Employee is required to be physically
present at the EMS Billing Office located at 490 63r' 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 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,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 tea percent(I OYS)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 of 13
912
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
913
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 Us
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 tights 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 Agreernef
is made in the State ofFlorida and will be governed by Florida law.This Agreement may be signed
in more t1m 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
(Dixie"Sandy"Roussin) Page 4 of 9
914
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,
fernininc, 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.
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
amended from time to time.To thee extent there is a conflict between theferms of
this Agreement and the Manual,the terms of this Agreement shall prevail.
H. If any provision, term, or portion of this Agreement shall be hold to be
unconstitutional, illegal, invalid, or enforceable by a court of competent
jurisdiction, the remainig 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 thit 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 aclmowledges 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
915
E. This Agreement incorporates and supersedes all prior negotiations,
correspondence, conversations, agreements, and/or understandings applicable to
the matters conWaed 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 Hmployee.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 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, specifically:
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 o& all documents, records, papers,
letters or other"Public record" materials in its possession or under its control
Billing Specialist Employment Contract
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916
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 ofthis 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 inspecUd 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
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917
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 S
918
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-BRIANtaMONROECOUNTY-
FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE, I I I I
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&L4 day of�, 2021.
���*�►u', vatEalAKoiEssAa MONROE OUNTY FIR SCUE
, `M;`7 Notary public-State of Florida
commission M HN 14S959
NW111-0 Ay Comm.Expires Aug 15,2025
Bonded through National Notary Assn.
By: C
Steven C. Hudson,Fire Chief
WITNESS: EMPLOYEE
ttt,c. G G� By:
� . Dixie"Sandy"Roussin
rAT 'FF MONROE COUNTY BOARD OF COUNTY a
KE N (Ab0 MONROE COUNTY COMMISSIONERS
tCf:'ERK=- �-%
B By: ��////��//���J�J c: r�s
As Deputy Clerk Mayor CD
MONROE COUNTY ATTORNEY BOARD OF GOVERNORS OF FIRE AND
Approved as to form and content: AMBULANCE DISTRICT 1 OF MONROE
COUNTY, FLORIDA
By: By:
Assistant County Attorney Mayor/Chairperson
it NROE COUNTY ATTOFINEY
A 'pOVE t FORM
Billing Specialist Employment Contract
O
(Dixie"Sandy"Roussin) ASSI PED J.LINTY ATTORNEY - Page 9 of 9
Date 8/30/21
919
MONROE COUNTY'
FLOr,'flDA
Job Description
To perforin ms job sucoessirafly ap qr#ej,,,d+,,aY j7jij5j be
,fH to »Y dFotrri the essenval functions
Reasonable accorrimocrabrins rriay be rnaeJe to onable)nchv:duafs ivrth disabilihes to perItyrn the priniary,job funcrons
herein described Srn.f;e every duty ass000ted with this fy.rsirfciri may nor be de.5crtboo hereen, firritrloyees rney be
required to perfbrrrr duties MW scierliscafty spei/ed Our an the yob,descnirition but which niay be reasonably consicered
to be incidental o the performir)g of tho,r(IiiNesjust as though they were actualfy wrtrtefi oot in this lab doscnptton
Job TItW B Ifing Specialist, Fire Rescue EMS
Departmeft Monroe Courrty Fire PeSCLM
Pay Grade, Contract
FLSA Statuw Non-exempt
LQ_4_�V_MMARY
The primary function of this position is, 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,
ESSkN flIA.008 FUNCTIONS
• Reviews ePCR reports to ensure complete and accurate patient dernographilc, 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.
• 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 reasponw records.
0, Performs monthly EMSTARS extract arid data subrnission to DePdrtrnent of Health, State
EMS Mvision to comply with mandatory pre-hospital reporting requinernents,
Manic*Courry PL Bilkk%"w,s s, o Ro"&ue I MS Updated 4,,1612021
920
BUbg spa Rft,We ROSM2 EMS 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:Ps, 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.
fl.L1ALIFI "1'iCINS
Education and Experience:
Highschool Diploma or CeD required. 3 years minimum of prior related work experience
preferred
Spacial 1 cations:
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,
e 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'fa .
• Ability to use independent judgment to study previously established, often partlally
relevant guidelines;plan forvarlous 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.
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.
Fite 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 foflowing-physicai abilities are required:
• Manual Dexterity: Picking,pinching,typing,or otherwise working,primarily with fingers
ratherthan with thee whole hand as in handling,
• Mental Aculty: Ability to make rational decisions through sound logic and deductive
processes.
Monroe County.FL Wing Speda{ist,Rre Re=a EMS Updated:4/16/20n
921
Billing Spedaiist,Fire Rescue EMS page
w Repetitive Motion: Substantial movernents(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 accuratepy
and concisely,
+ Talking: Expressing or exchanging ideas by means of the spoken ward including these
activities in which they must convey detarled 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
reading.
r ' Balking: Moving about on facet to accomplish tasks, particularly for long distances or
moving from one work site to another,
'fork is performed in a dynamic environment: that requires sensitivity and responsiveness to
changes that include goals, priorities, and needs of the organization aril position,
Monroe County has the right to revise this od description at o y time. This
description does not represent in any way o contract ofemployment.
tEmploye, Slgm sere Date
pervisor or Director Signature Cate
Digitally�4€lvd by Rqa,C:ewk
Bryan Cook '�tE ,�y �, ' c�._
Director of Employee Service Signature Date
Monroe County does not discrimiiate on the basis of race, coto,r, norionrri origin, gender, religion, age,
disability or military service in employment or the provi5ion of services,
Monroe Ccunty,FL Billing SrsptF ati,t.Lire Aete iue EMS Updated 4/1 f2,021
922
M
N
M
FIRST ADDENDUM TO EMPLOYMENT AGREEMENT BETWEEN
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,
THE BOARD OF GOVERNORS OF MONROE COUNTY
FIRE & AMBULANCE DISTRICT 1,AND
DIXIE "SANDY" ROUSSIN
FOR THE POSITION OF EMS BILLING SPECIALIST
THIS FIRST ADDENDUM TO EMPLOYMENT AGREEMENT ("Addendum") is
entered into upon the date below written by and between Monroe County, Florida., acting 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 County entered into an Employment Agreement ("Agreement") with
Dixie "Sandy" Roussin on July 12, 2021 for a period of twenty-four (24) months for the position
of EMS Billing Specialist which is due to expire on July 11, 2023; and
WHEREAS, the Employment Agreement allows the parties to extend the employment
term by written addendum; and
WHEREAS, the Employee has satisfactorily performed her duties therefore the parties
desire to update several terms and extend the term of the contract for a period of two years,
becoming effective on July 12, 2023 and terminating July 11, 2025, subject to modification of
certain other terms within the Agreement; and
NOW THEREFORE, in consideration of the mutual promises contained herein, the
County and Employee set forth herein, it is mutually agreed as follows:
1. Paragraph 2(c) of the Agreement is amended to read as follows: At the discretion of
the EMS Billing Supervisor, Employee may be required to be physically present at the
Billing Specialist Employment Contract
(Dixie "Sandy" Roussin) Page 1 of 3
It
04
M
EMS Billing Office located at 490 63d Street, Marathon, FL 33050 for a minimum of
forty (40) hours per week.
2. Paragraph 3(a) of the Agreement is amended to read as follows: 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 fifty-two thousand dollars ($52,000).
3. Paragraph 3(d)(i) is amended to read as follows: Employee agrees to obtain EMS
Ambulance Billing and Coding Certification while employed by Monroe County as an
EMS Billing Specialist and during the term of this Agreement. Tuition costs related to
the certification are eligible for reimbursement by Monroe County Fire Rescue of the
actual expenditure in accordance with Section 2.11 of the Monroe County Personnel
Policies and Procedures Manual ("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. Paragraph 4 is amended to read as follows: The Employee agrees to abide by Section
1.03 OUTSIDE EMPLOYMENT as set forth in the Manual, and any updates thereto.
5. Paragraph 5(a) is amended to read as follows: The normal term of this Agreement as
extended by this Addendum will be for a period of twenty-four (24) months
commencing July 12, 2023 and terminating on July 11, 2025.
(signatures on next page)
Billing Specialist Employment Contract
(Dixie "Sandy" Roussin) Page 2 of 3
L0
04
IN WITNESS WHEREOF, the parties have set their hands and seals, in the County of
Monroe, Florida this day of _,-, 2023.
KAKY JAMLER MONROE COUNTY FIRE RESCUE
Notary public-State*f Florida
commisstoo,#OG 977696
04y Comm.Expires Apt 12,2024
lion led hrouth National Notary Assn.
By: ......
mes Callahan, Fire Chief
WITNESS: EMPLOYEE
By: By:
Dixie "Sandy" Roussin
(SEAL) BOARD OF COUNTY
ATTEST: KEVIN MADOK, CLERK COMMISSIONERS
By: ..........
As Deputy Clerk By:
Mayor
MONROE COUNTY ATTORNEY BOARD OF GOVERNORS OF FIRE
Approved as to form and content: AND AMBULANCE DISTRICT 1 OF
MONROE COUNTY, FLORIDA
By: By:
Assistant County �A orney Mayor/Chairperson
Date:5/31/23
Billing Specialist Employment Contract
(Dixie "Sandy" Roussin) Page 3 of 3