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Item C10 CIO BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE i Mayor Holly Merrill Raschein,District 5 The Florida Keys Mayor Pro Tern James K.Scholl,District 3 Craig Cates,District 1 Michelle Lincoln,District 2 ' David Rice,District 4 Board of County Commissioners Meeting December 11, 2024 Agenda Item Number: CIO 2023-3225 BULK ITEM: Yes DEPARTMENT: Fire Rescue TIME APPROXIMATE: STAFF CONTACT: James K. Callahan N/A AGENDA ITEM WORDING: Approval by the BOCC of the new Employment Agreement between Monroe County and Dina Stitt for the position of Fire Rescue EMS Billing & Claims Supervisor with an increase in salary from the former agreement (from $76,000 to $83,600) for a period of two (2) years to commence on December 12, 2024 and expire on December 11, 2026, and authorization for the County Administrator/Fire Chief to execute all necessary documents. ITEM BACKGROUND: The Fire Rescue EMS Billing & Claims Supervisor provides management and oversight of the Fire Rescue EMS billing and claims system for Trauma Star and Ground Ambulance transports to ensure an efficient and accurate billing and collection process. The former employment agreement for the EMS Billing & Claims Supervisor expired on December 11, 2024. Monroe County Fire Rescue(MCFR) is requesting approval by the BOCC for a new Employment Agreement with an increase in salary from $76,000 to $83,600 for a period of two (2)years to commence on December 12, 2024 and expire on December 11, 2026. PREVIOUS RELEVANT BOCC ACTION: On November 15, 2022, the Board of County Commissioners (BOCC)(Item F2) and the Board of Governors (BOG)(Item K2) approved an Employment Agreement to fulfill the position of EMS Billing & Claims Supervisor from December 12, 2022 to December 11, 2024. On December 11, 2019, the Board of County Commissioners (BOCC)(Item C4) and the Board of Governors (BOG)(Item G1) approved an Employment Agreement to fulfill the position of EMS Billing & Claims Supervisor from December 12, 2019 to December 11, 2022. 411 INSURANCE REQUIRED: No CONTRACT/AGREEMENT CHANGES: Employment Agreement for EMS Billing & Claims Supervisor STAFF RECOMMENDATION: Approve DOCUMENTATION: Employment Agreement for EMS Billing and Claims Supervisor- Expires 12.11.2026.pdf FINANCIAL IMPACT: Annual Salary For Dina Stitt: Total $83,600 • 101-11001 Medical Air Transport 78% $65,208 • 141-11500 Fire & Rescue Center 22% $18,392 412 EMPLOYMENT AGREEMENT BETWEEN THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, THE BOARD OF GOVERNORS OF MONROE COUNTY FIRE&AMBULANCE DISTRICT 1,AND DINA STITT FOR THE POSITION OF EMS BILLING& CLAIMS SUPERVISOR THIS AGREEMENT is entered into on day of .........._ _...µµµ,_Mr_, 2024 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 Monroe County Fire&Ambulance District 1,acting through its Board of Governors,a municipal services taxing unit established under Florida law and codified in Section 22-129, Monroe County Code of Ordinances, with a principal address being the same as the BOCC, (collectively referred to herein as "County")and Dina Stitt(herein after"Employee"). WHEREAS, the County entered into an Employment Contract with Ms. Dina Stitt on December 12, 2019 for a period of thirty-six(36) months for the position of EMS Billing& Claims Supervisor which expired on December 11,2022; and WHEREAS,the parties entered into a new Employment Contract effective on December 12, 2022 for a period of twenty-four(24)months which is due to expire on December 11,2024: and WHEREAS,the parties desire to enter into another Employment Contract,to be effective upon full execution hereof, for a new employment term of twenty-four (24) months to commence on December 12, 2024 and expire on December 11, 2026. NOW THEREFORE, in consideration of the mutual promises contained herein,the sufficiency of such is hereby acknowledged,the County and Employee mutually agree as follows: 1. EMPLOYMENT: Employee is hereby employed as the EMS Billing&Claims Supervisor as a Contract Employee as that term is defined in Section 2.03 of the Personnel Policies & Procedures Manual ("Manual"). 2. FULL TIME EMPLOYMENT & DUTIES: The County and Employee agree that the position of EMS Billing&Claims Supervisor will be a full-time position. Employee agrees to work under the direct supervision of the MCFR Chief, or designee (as designated in writing). Duties of the Employee will be as set forth in the Job Description attached hereto as "Exhibit A," the provisions of which are incorporated herein by reference. A. The Employee shall not disclose to any person,party,or entity any confidential,proprietary, time-sensitive,or non-public(including HIPAA)information relating to the County or its operations unless required by law to do so. Billing Supervisor Employment Contract(Dina Stitt) Page 1 of 9 413 B. The Employee will follow all Standard Operating Procedures established by Monroe County Fire Rescue("MCFR"),and all other Monroe County policies and procedures relevant to her duties, including but not limited to,the County's Administrative Instructions. C. Upon termination of this Agreement, the Employee agrees to immediately surrender all documents, information, property, and assets (both physical and electronic) to MCFR. The documents prepared by the Employee hereunder belong to the County, and may be reproduced and copied without acknowledgement or permission of the Employee. 3. COMPENSATION AND BENEFITS: County and Employee agree that the position of EMS Billing& Claims Supervisor 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 receive an annual salary in the amount of$83,600.00. 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 in accordance with Monroe County Resolution No. 222-2019, as may be amended from time to time. After the conclusion of each measurement period asset forth in the Bonus Program resolution, a determination of whether the supplemental lump-sum payment is warranted for increased revenue receipts will be conducted. A bonus payment may be administratively processed consistent with the resolution. Same shall not to exceed ten percent (10%) of base salary. This Bonus Program will be the method of evaluating work performance, in lieu of the general annual employee evaluation program. 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. 4. SOLE EMPLOYMENT: The Employee agrees to abide by Section 1.03, "OUTSIDE EMPLOYMENT," as set forth in the Manual, and any updates thereto. 5. TERM OF AGREEMENT; TERMINATION; CANCELLATION; GENERAL RELEASE; ABOLISHMENT OF POSITION: A. Normal Term of Agreement. The normal term of this Agreement will be a period of twenty- four(24)months commencing December 12, 2024 and terminating on December 11, 2026. B. Extension of Normal Term. This Agreement may be renewed for additional periods by written agreement executed by all parties. If Employee does not wish to extend the agreement, or otherwise is not interested in holding the position of EMS Billing & Claims Supervisor Billing Supervisor Employment Contract(Dina Stitt) Page 2 of 9 414 beyond the natural end of the existing term, Employee must provide the County written notice of intent not to renew or continue no less than ninety(90) days prior to the expiration date. 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. ii. In entering into this Agreement, the Employee also understands that she can be terminated at any time upon twenty-four(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 to an investigation which is conducted by or at the express direction of the BOCC;(d)arrest 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 specifically waives the right to utilize the grievance procedure set forth in: Sections 9 and 10 of the Personnel Policies and Procedures Manual; House Bill No. 2658, Chapter 69-1321, the Monroe County Career Service Council. D. General Release: Upon timely payment by the County of the sums required for cancellation without cause, the Employee will execute a general release in favor of all officers, members, and employees of the BOCC and BOG relating to any cause or causes of action the Employee has,had,or may have related to the Employment Agreement and the work described herein.The general release will encompass all applicable federal, state, and local laws and ordinances in relation to claims of illegal discrimination, intentional and unintentional torts, whistle blower rights,and all other types of claims whether known or unknown through the date of cancellation. To the extent that it is prohibited by applicable federal,state,or local law,this provision or parts hereof,will be severed from the remainder to the extent determined void by a court of competent Billing Supervisor Employment Contract(Dina Stitt) Page 3 of 9 415 jurisdiction. E. Abolishment of Position of EMS Billing&Claims Supervisor: If the BOCC and BOG take such joint action as to lawfully abolish or remove the position of EMS Billing & Claims Supervisor during the term of this Agreement, the abolishment of the position for the purposes of this Agreement shall be deemed to be a termination of this Agreement by cancellation by the BOCC and BOG. 6. SOVEREIGN IMMUNITY: Nothing contained herein is intended, nor may it be construed, to waive County's rights and immunities under the common law or Section 768.28, Florida Statutes, as amended from time to time;nor will anything included herein be construed as consent to be sued by any third parties in any matter arising out of this Agreement. This section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. 7. 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. 8. GOVERNING LAW; ATTORNEY'S FEES AND COSTS; VENUE: This Agreement is made in the State of Florida and will be governed by Florida law. This Agreement may be signed in more than one counterpart, in which case each counterpart will constitute an original of this Agreement. Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Agreement. Wherever used herein,the singular will include the plural, the plural will include the singular, and pronouns will be read as masculine, feminine, or neuter as the context requires. The parties waive the privilege of venue and agree that all litigation between them in the state courts will take place exclusively in the Sixteenth Judicial Circuit in and for Monroe County,Florida,and that all litigation between them in the federal courts will take place exclusively in the United States District Court in and for the Southern District of Florida, or United States Bankruptcy Court for the Southern District of Florida,whenever applicable.This Agreement is not subject to arbitration. 9. OTHER TERMS AND CONDITIONS: A. Except as set forth herein,the Employee is subject to all terms and conditions set forth in the Monroe County Personnel Policies & Procedures Manual ("Manual") as may be amended from time to time. To the extent there is a conflict between the terms of this Agreement and the Manual,the terms of this Agreement shall prevail. 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 Billing Supervisor Employment Contract(Dina Stitt) Page 4 of 9 416 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 acknowledges that she or he has had the Agreement reviewed by an attorney, or has been given the opportunity to do so and has waived that opportunity. E. This Agreement incorporates and supersedes all prior negotiations, correspondence, conversations, agreements, and/or understandings applicable to the matters contained herein. It is further agreed that there are no commitments, agreements, inducements, or understandings concerning the subject matter of this Agreement that are not contained herein, and no deviation from the terms hereof shall be predicated upon any prior representations,offers,promises,inducements,or agreements,whether oral or written,and by whomever made. F. The County reserves all rights available to recuperate monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the County's False Claims Ordinance, located at Section 2-721 et al.of the Monroe County Code. G. Florida Ethics Laws Apply & Prohibition on Conflict of Interest, Gratuities, Kickbacks, and Collusion. The statements contained in this paragraph are true and correct, and made with the full knowledge that Monroe County relies upon the truth of the statements contained herein. i. Florida Ethics Laws for Public Employees. Chapter 112, Part III, "Code of Ethics for Public Officers and Employees," Florida Statutes, as may be amended from time to time, applies to the Employee, and Employee expressly agrees to be bound by same. ii. Conflict of Interest. The Employee covenants that she presently has no interest and will not acquire any interest that would conflict in any manner or degree with the performance of services required hereunder. Billing Supervisor Employment Contract(Dina Stitt) Page 5 of 9 417 iii. Gratuities. The Employee hereby certifies that she has not offered, given, or agreed to give any Monroe County employee a gratuity, favor, or anything of monetary value in connection with any decision, approval, disapproval, recommendation,preparation of any part of this agreement. iv. Kickbacks. The Employee certifies that she has not given payment,gratuity,or offer of employment to any person associated with Monroe County, as an inducement of the award of this employment contract. V. Non-Collusion Statement. By signing this Agreement, the Employee certifies under penalty of perjury that the Employee has not engaged in collusion, consultation, or communication for the purpose of restricting competition for this position; and no attempt has been made to induce another person to apply for the position, or not apply, for the purpose of restricting competition in the award of this employment contract. H. Monroe County Ethics Clause pursuant to Monroe County Ordinance No. 010-1990. By signing this Agreement, the Employee warrants that she has not employed, retained or otherwise had act on her behalf any former County officer or employee in violation of Section 2-149,Monroe County Code of Ordinances,or any County officer or employee in violation of Section 2-150, Monroe County Code of Ordinances. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the value of the Agreement, or otherwise recover, the full amount of any wage, fee, commission, percentage, gift, or consideration paid to the former County officer or employee pursuant to Subsection 2- 152(b), Monroe County Code of Ordinances. I. Nondiscrimination Covenant. The Employee and County agree that there will be no discrimination against any person,and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. Employee agrees to comply with all Federal and Florida statutes, and all local ordinances,as applicable,relating to nondiscrimination.These include but are not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination in employment on the basis of race, color, religion, sex or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended(20 USC s. 794), which prohibits discrimination on the basis of disability; 4) The Age Discrimination Act of 1975, as amended (42 USC Billing Supervisor Employment Contract(Dina Stitt) Page 6 of 9 418 ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972(PL 92-255),as amended,relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 12101 Note), as may be amended from time to time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code Chapter 14, Article II, which prohibits discrimination on the basis of race, color, sex, religion, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; 11) The Pregnant Workers Fairness Act(PWFA)pursuant to 42 U.S.C.2000gg et seq.;and 12)Any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of,this Agreement. J. E-Verify Requirements. Effective January 1, 2021, both public and private employers, including the County must register and use the E-verify system in order to verify the work authorization status of all newly hired employees. Employee acknowledges and agrees to comply with the County's requests consistent with those required to utilize the U.S. Department of Homeland Security's E-Verify System to verify the employment eligibility of the Employee. K. Public Records. County is a public agency subject to Chapter 119, Florida Statutes, as amended from time to time. To the extent Employee is acting on behalf of the County pursuant to Section 119.0701, Florida Statutes, as amended from time to time, Employee must comply with all public records laws in accordance with Chapter 119,Florida Statutes. In accordance with state law, Employee agrees to: i. Keep and maintain all records that ordinarily and necessarily would be required by the County in order to perform the services. ii. Upon request from the County's custodian of public records, provide the County with a copy of the requested records or allow the records to be inspected or copies within a reasonable time at a cost that does not exceed the costs provided in Chapter 119, Florida Statutes, or as otherwise provided by law. iii. Ensure that public records that are exempt,or confidential and exempt, from public records disclosure are not disclosed except as authorized by law for the duration of Billing Supervisor Employment Contract(Dina Stitt) Page 7 of 9 419 the Agreement term and following completion of the Agreement if the Employee does not transfer the records to the County. iv. Upon completion of the services within this Agreement, at no cost, either transfer to the County all public records in possession of the Employee or keep and maintain public records required by the County to perform the services. If the Employee or transfers all public records to the County upon completion of the services, the Employee must destroy any duplicate public records that are exempt,or confidential and exempt, from public records disclosure requirements. If the Employee keeps and maintains public records upon completion of the services, the Employee must 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 public records, in a format that is compatible with the information technology systems of the County. IF THE EMPLOYEE HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE EMPLOYEE'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE COUNTY'S CUSTODIAN OF PUBLIC RECORDS AT PHONE: 305-292-3470, EMAIL: PL1 IFICRE(,'O DS(ii,,Mo .OEC,(.)'(.JN`I" �": FL.GOV, OR C/O MONROE COUNTY ATTORNEY'S OFFICE, 1111 12TH STREET, SUITE 408, KEY WEST, FL 33040. If Employee does not comply with this section, the County will enforce the Agreement provisions in accordance herewith and may unilaterally cancel this Agreement in accordance with state law. L. 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. [Signatures to follow] Billing Supervisor Employment Contract(Dina Stitt) Page 9 of 9 420 IN WITNESS WHEREOF,the parties have set their hands and seals, in the County of Monroe, Florida on the dates appearing next to their respective signatures. MONROE COUNTY FIRE RESCUE IJ gilally%,tined by James K. James K.Callahan W'Ihan By: O Du[@ 2024 JL.507:53:47-05'00' Jameallahan, Fire Chief s C Date (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: Kevin Madok, Clerk OF MONROE COUNTY,FLORIDA As Deputy Clerk Date Mayor/Chairman Date BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA By:__._-- ...—.. - Mayor/Chairperson Date Approved as to legal form & sufficiency:. Digitally signed by Eve M.Lewis Eve M. Lewis Date:2024.11.2320:09:15-05'00' Eve M. Le..._i Ass istant—C_ . .._. ws, County Attorney E MI' tbYFE Py Signature ITITIT _ Date Dina ctatt ......... Print Name STATE OF ww����na�`�,, COUNTY OF Mov The foregoing instrument was sworn to/affirmed and acknowledged before me by means ofX physical p es:ei7ce car 0 online notarization, this wS'day of --- .20 t� by in her individual capacity. She i (aerscataaily known to iat r has produced N (type of identification)as identification. CARA oHD$40A9. Signature aal otn`y Public Notary Public Stat 1_ 2 C�ammission#HH h+y Cnrnrn.expires l �.....�... _Banded through Mat1wal (Print& Stamp-Notary Public) Billing Supervisor Employment Contract(Dina Stitt) Page 9 of 9 421 M 0 14 IR' 0 E C 0 U N I""'Y' FLORIDA Job Description To perform this job successfully,an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions herein described. Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the job description,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: EMS Billing & Claims Supervisor, Fire Rescue Department: Fire-Rescue Services Pay Grade: Contract FLSA Status: Non-exempt JOB SUMMARY The primary function of this position is to be responsible for the implementation and management of an EMS billing program. This includes: the review of patient care reports; verification of trip data, patient demographic, payment, and insurance information; selection of procedure codes, diagnosis/condition codes and modifiers; claims submission and follow up; and account postings and receivables for air and ground ambulance transports. ESSENTIAL JOB FUNCTIONS r Develops, implements,and manages EMS billing program. • Drafts and submits for approval and adoption ambulance billing policies and procedures. r Reviews or supervises review of ePCR reports to ensure complete and accurate patient demographic,trip, billing, and insurance information; refers incomplete or inaccurate records to EMS Quality Assurance. o Ensures appropriate ICD-10 codes are entered on each claim and pre-billing assignment of condition codes, modifiers, levels of service, and other relevant claim data. 422 EMS Billing&Claims Supervisor,Fire Rescue ..Pa..ge 2 • Supervises the EMS Billing department team of EMS Billing Specialists in various duties, such as account management, communications with insurance providers, collections, cash posting, and billing. • Reviews EMS Billing Specialists electronic time entry into Telestaff to ensure it is coded correctly and approves it for each pay period. • Manages and resolves patient complaints with respect to billing and collections for ground and air transport. • Provides constructive regular feedback to EMS Billing Specialists to achieve the highest quality of work. • Prepares and ensures accurate,timely and compliant claims submissions. • Reviews and analyzes remittance advice, identifies, and investigates denied and rejected claims, identifies possible resolutions, and resubmits or appeals claims if applicable. • Posts payments to accounts,reconciles lockbox,and completes billing to secondary payers and/or patients. • Analyzes and reviews remittances to make sure correct reimbursement has been applied. • Initiates collection actions including contacting patients by phone, arranging payments, and correcting and resubmitting claims to third party payers. •, Analyzes and manipulates data, writes queries and generates billing, financial, and incident reports using a variety of software and reporting programs. • Monitors and keeps abreast of changes to governmental regulations and medical billing and coding standards, and modifies billing process as necessary to ensure compliance, and maximize reimbursements. • Periodically surveys comparable air and ground ambulance service providers to determine their service fees and charges and makes recommendations for modifications of County rates as necessary. • Works closely with the County's Internal Audit Department during ambulance billing audits. • Reviews and approves Resident Fee Waiver applications. • Prepares annual air and ground ambulance, and Air Resident Waiver write-offs for presentation and action by the BOCC. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations and County/Department Policies and Procedures. • Coordinates with the MCFR Medical Director and/or County Attorney when required or requested. • Provides monthly billing and collections reports to management and other internal departments. • Performs other related job duties as assigned. • In the event of special, emergency, or disaster situations, employee may be required to work schedules other than those for which they are regularly scheduled in any capacity deemed appropriate. —FICATIONS Education and Experience: Associate degree required. 5 years minimum of prior related work experience. Special Qualifications: Certified medical coder preferred. Certified Ambulance Coder within one year of employment.. Monroe County,FL Fire Rescue Updated:11/14/2024 423 EMS Billing&Claims Supervisor,Fire Rescue Page 3 Knowledge,Skills,and Abilities: • Ability to oversee the work of a team engaged in providing specific services, completing specific projects, or assisting other units. * Ability to analyze and make recommendations on how to improve the operational performance of the organization. * Ability to make decisions that impact how our unit provides services and support to internal and external customers. Ability to oversee and manage more than two employees in the organization performing similar work. PHYSICAL DEMANDS 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 rather than with the whole hand as in handling. • Mental Acuity: Ability to make rational decisions through sound logic and deductive processes. • 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 including 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 terminal; and/or extensive 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. 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. Monroe County,FL Fire Rescue Updated:11/14/2024 424 e 4 EMS Billing&Claims Supervisor,Fire Rescue Pag��.. Employee Signature Date D gltalay signed by James K. James K. Callahan Ca0aham Date 2024.11.19 09:12:45-05'00' ......... ....... Supervisor or Director Signature Date 1t,!: ty signed by Bryan Cook Bryan Cook Date'2024.11.21 08:52:12 _05,0V Director of Employee Services Signature Date Digitally signed by Christine HurleyChristine Hurley Date:2024.11.21 10:42:59-05'00' County Administrator Signature Date E.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. Monroe County,FL Fire Rescue Updated:11/14/2024 425