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HomeMy WebLinkAboutItem C04 BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE Mayor Michelle Lincoln,District 2 The Florida. Keys Mayor Pro Tem David Rice,District 4 p Craig Cates,District I James K. Scholl,District 3 Holly Merrill Raschein,District 5 Regular Meeting May 20, 2026 Agenda Item Number: C4 26-6299 BULK ITEM: Yes DEPARTMENT: Fire Rescue TIME APPROXIMATE: N/A STAFF CONTACT: R.L. Colina, Fire Chief AGENDA ITEM WORDING: Approval of the new Employment Agreement between Monroe County and Sicong "Leah" Fennessey for the position of Fire Rescue EMS Billing & Claims Specialist with an increase in annual salary from the existing agreement ($55,000 to $60,500) funded through Fund 101, for a period of two (2) years commencing on June 24, 2026 and expiring on June 23, 2028; acknowledging the Fire Chief s concurrence, and authorizing the Mayor to execute the Employment Agreement. ITEM BACKGROUND: The existing employment agreement for the EMS Billing Specialist position expires on June 23, 2026. Based on employee performance and to ensure continuous services, Monroe County Fire Rescue (MCFR) is requesting approval by the BOCC of a new Employment Agreement depicting a new job title and an updated job description, with an increase in annual salary from $55,000 to $60,500 for a period of two (2) years to commence on June 24, 2026 and expire on June 23, 2028 at 11:59pm EST. The new Employment Agreement describes the terms and conditions of the individual's position as a contract employee, and same will be funded exclusively through Fund 101. PREVIOUS RELEVANT BOCC ACTION: 07/14/24: BOCC and BOG approved an Employment Agreement with Sicong "Leah" Fennessey to fill a vacancy for the position of EMS Billing Specialist. INSURANCE REQUIRED: No. CONTRACT/AGREEMENT CHANGES: This Employment Agreement for Sicong "Leah" Fennessey is a new agreement between the parties. It will commence on June 24, 2026 and expire on June 23, 2028 (11:59pm EST) and provide an increase in annual salary from $55,000.00 to $60,500.00. STAFF RECOMMENDATION: Approval. DOCUMENTATION: Employment Agreement for Leah Fennessey 05.06.2026.pdf FINANCIAL IMPACT: Effective Date: 06.24.2026 Expiration Date: 06.23.2028 Total Dollar Value of Contract: $60,500 Total Cost to County: $60,500 Current Year Portion: $30,250 Budgeted: Yes Source of Funds: 101-11001 Medical Air Transport CPI: N/A Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: N/A If yes, amount: N/A Grant: N/A County Match: N/A Insurance Required: No EMPLOYMENT AGREEMENT BETWEEN THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND SICONG"LEAH"FENNESSEY FOR THE POSITION OF EMS BILLING & CLAIMS SPECIALIST THIS AGREEMENT is entered into on day of w w..wwww........ _ .ri 2026 by and between Monroe County, Florida, acting through its Board of County Commissioners ("BOCC"), a political subdivision of the State of Florida, whose main address is 1100 Simonton Street, Key West, Florida 33040 (hereinafter"County"), and Sicong"Leah" Fennessey(herein after"Employee"). WITNESSETH WHEREAS, in 2024, the County and Sicong "Leah" Fennessey ("Employee") formed an original employment contract ("Original Agreement") for Employee to perform certain functions on behalf of the Monroe County Fire Rescue Department, with specifically assigned duties within the emergency medical services ("EMS") billing division, for a twenty-four (24)-month term commencing on June 24, 2024 and ending at 11:59pm EST on June 23,2026; and WHEREAS, the parties desire to continue the engagement, and desire to start a new Employment Contract that contains updated terms and conditions, as further set forth herein; and WHEREAS, to ensure clarity and continuity of services, this new Employment Contract will become effective on June 24, 2026, after the natural expiration of the Original Agreement, and provide the new term of employment commencing on June 24, 2026 and terminating on June 23, 2028 at 11:59pm EST, for a new employment term of twenty-four (24) months under the new title of"EMS Billing & Claims Specialist" and updated project specific duties and functions; and WHEREAS, the parties agree that upon the natural expiration of the Original Agreement it will have no further force or effect, and that this new Employment Contract will be the controlling agreement between the parties. 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 an EMS Billing & Claims Specialist as a Contract Employee as that term is defined in Section 2.03 of the Personnel Policies & Procedures Manual ("PPP Manual"). 2. FULL TIME EMPLOYMENT&DUTIES: The County and Employee agree that the position of EMS Billing& Claims Specialist will be a full-time position. Employee agrees to work under the direct supervision of the EMS Billing & Claims Supervisor, or designee (as designated in writing). Duties of the EMS Billing &Claims Specialist Employment Contract (Leah Fennessey) Page 1 of 10 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. 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 (or such other similar documents under nomenclature that may change from time to time). 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. D. Employee is required to be physically present at the MCFR Headquarters (EMS Billing Office)located at 7280 Overseas Highway,Marathon,FL 33050 for a minimum of forty(40)hours per week. At the discretion of the EMS Billing Supervisor, and only with concurrence by MCFR Fire Chief,Employee may be permitted alternative arrangements as may be consistent with the PPP Manual. 3. COMPENSATION AND BENEFITS: County and Employee agree that the position of EMS Billing&Claims 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, and subject to review and approval/denial,on forms to be provided by the County,as necessary or applicable. 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$60,500.00. 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 as set 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 provided in the PPP Manual. EMS Billing&Claims Specialist Employment Contract(Leah Fennessey) Page 2 of 10 C. Benefits: Except as otherwise set forth herein, the Employee shall also receive all benefits set forth in the PPP 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 PPP 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 June 24, 2026 and terminating on June 23, 2028 (at 11:59pm EST). 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 Specialist 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.By entering into this Agreement, the Employee understands that she serves at the pleasure of the BOCC, the County Administrator, and MCFR; and that the Employee can be terminated at any time, with immediate effect for cause or breach of this agreement,or upon thirty(30)days written notice by MCFR without cause,or otherwise on the basis of convenience pursuant to this agreement. ii. By entering into this Agreement, the Employee also understands that she can be terminated at any time with up to 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 EMS Billing&Claims Specialist Employment Contract(Leah Fennessey) Page 3 of 10 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. By entering into this Agreement,the Employee specifically waives the right to utilize the grievance procedure referred to or set forth in Sections 9 and 10 of the PPP Manual,nor the grievance procedure set forth in Chapter 69-1321,Laws of Florida, establishing the Monroe County Career Service Council, and all subsequent amendments to the special law thereafter. D. General Release: Upon timely payment by the County of the sums required for cancellation without cause, and upon request of County,the Employee agrees to execute a general release in favor of all officers, members, and employees of the BOCC 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 jurisdiction. E. Abolishment of Position of EMS Billing & Claims Specialist: If the BOCC takes such action as to lawfully abolish or remove the position of EMS Billing&Claims Specialist 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 for convenience by the County(BOCC). F. Subject to Appropriation. The County's performance and obligation to pay under this Employment Contract is contingent upon an annual appropriation by the Board of County Commissioners. In the event that the County funds on which this Agreement is dependent are withdrawn, this Agreement is terminated, and the County has no further obligation under the terms of this Agreement to the Contractor beyond that already incurred by the termination date. 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. EMS Billing&Claims Specialist Employment Contract (Leah Fennessey) Page 4 of 10 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 PPP Manual as may be amended from time to time. To the extent there is a conflict between the terms of this Agreement and the PPP 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 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 parry. 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. EMS Billing&Claims Specialist Employment Contract(Leah Fennessey) Page 5 of 10 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. 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 EMS Billing&Claims Specialist Employment Contract(Leah Fennessey) Page 6 of 10 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 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 EMS Billing&Claims Specialist Employment Contract(Leah Fennessey) Page 8 of 10 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 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, EMS Billing&Claims Specialist Employment Contract(Leah Fennessey) Page 7 of 10 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: I ' C S� M N EC Ul - " .. ", OR C/O MONROE COUNTY ATTORNEY'S OFFICE, P.O. BOX 1026, 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] EMS Billing&Claims Specialist Employment Contract(Leah Fennessey) Page 9 of 10 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. EMPLOYEE y'Iti Date -5.1�C0Qg—,'Lcah".Eg.n!1g y- Print Name STATE OF_F r COUNTY OF The foregoing instrument was sworn to/affirmed and acknowledged before me by means of 5(physical presence or 0 online notarization,this &iy of' 20P by ...................... in her individual capacity. She il EEE n to me )r has produced ....... (type of identification) as identification, CARA JOHNSON 3rn t 0 2NII�1; 'N Signature ure f N ,try Public Notary Public-State of Florida Commission#HH 669986 Ju 10 0 . 2029 ,� � ow r My Comm.Expires Jun 10,2029 'I Notary Assn. ded through National Notary Assn. (Print& Stamp-Notary Public) MONROE COUNTY FIRE RESCUE Digitally signed by R.L.Coina By: R.L. Colina Date:2026.05.06 08*5541l-04'00' R.L. Colina,Fire Chief Date (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: Kevin Madok, Clerk OF MONROE COUNTY,FLORIDA By: As Deputy Clerk Date Michelle Lincoln,Mayor Date Approved as to legal form& sufficiency: S Digitally signed by Eve M.Lewis Eve M. pp Digitally Date:2026.05.05 09:34:48-04'00' --—11111...............I'll,................. Eve M. Lewis,Assistant County Attorney EMS Billing&Claims Specialist Employment Contract(Leah Fennessey) Page 10 of 10 '` � I I- b i /k of MONROE COUNTY Job Description To perform this job successfully,an individual must be able to satisfactorily perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions described herein. 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 to the performance of their duties,just as though they were actually written out in this job description. Job Title: EMS Billing & Claims Specialist, Fire Rescue Department: Emergency Services Pay Grade: Contract FLSA Status: Non-exempt JOB SUMMARY The primary function of this position is to oversee report review, data entry,data retrieval, and records maintenance for an air and ground EMS billing program,as well as perform complex administrative work within the Emergency Services Division.' ESSENTIAL JOB FUNCTIONS • Reviews ePCR reports to ensure complete and accurate patient demographics,trip details,billing, and insurance information; refers incomplete or inaccurate records to EMS Quality Assurance. • Applies extensive knowledge of medical terminology,CPT,HCPCS,ICD 10,and CMS 1500 revenue codes, modifiers, billing rules, and payer recommendations for government and commercial insurers. • 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 with completion of insurance forms,Air Resident(Trauma Star)waivers,and records requests. • Initiates pre-authorization for air ambulance transportation as required by specific insurers. • Assists the Billing and Claims Supervisor with collection actions, including contacting patients by phone and arranging payments. • Reduces aging accounts by consistently following up on unpaid claims to maintain workflow efficiency. • Processes and posts Medicare, Medicaid, ACH payments, wire transfers, checks, and credit card payments on a daily basis; reviews and processes refunds as needed. EMS Billing&Claims Specialist,Fire Rescue Page 2 • Reviews and follows up on accounts before transferring to an outside collection agency once collection timeframes are met. • Processes Air Resident(Trauma Star)waivers. • Processes legal records requests for patient care reports and response records. • Performs monthly EMSTARS data extraction and submission to the Florida Department of Health and State EMS Division, to ensure compliance with mandatory pre-hospital reporting requirements. • Reviews, processes,and responds to correspondence accordingly. • Accurately posts payments and denials. • Maintains multiple spreadsheets for billing reconciliation. • Scans and maintains accurate day-to-day posting documentation and correspondence in OneDrive for audit and compliance purposes. • Maintains strict confidentiality and adheres to all HIPAA regulations and County/Department policies and procedures. • Stays informed of regulatory changes and adapts to evolving claim reimbursement and denial processes. • Possess strong written communication skills to generate appeal letters tailored to the patient's condition, quality of service, reason for denial, and capacity against which the denial was prompted. • Processes RFPs, contracts, renewals, purchases, agenda items, and special projects; maintains associated records. • Participates in meetings, conference calls, and webinars to address/process claim rejections, acquires information about appeals processes, and stays current with regulations and payer contract requirements. • Assists with budget preparation and monitors expenses. • 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. QUALIFICATIONS Education and Experience: High school Diploma or GED required. Three (3) years minimum of prior related work experience preferred. Special Qualifications: Certified Ambulance Coder within one year of employment. Knowledge,Skills,and Abilities: • Ability to work from a general outline of duties and responsibilities. • Ability to perform entry-level professional work, including basic data analysis and synthesis, report creation, process performance, and regulatory or compliance activities. • Ability to follow basic guidelines for operational activities. • Ability to work with less than ten co-workers who are mostly engaged in the same activities as me. Monroe County,FL EMERGENCY SERVICES Updated:04/09/2026 EMS Billing&Claims Specialist,Fire Rescue Page 3 PHYSICAL DEMANDS The work is sedentary and requires exerting up to 10 pounds of force occasionally and/or a 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 ENVIR+QNMENT 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. Employee Signa re Date 54ned by R.L. C o l i n a r + fN2 t149 1R:33 39 ColAna Supervisor or Director Signature Date '11Bryan Cook 2 26,04. 9 Bryan Cook CYa[e:��26.G�4.CN9 72:42:53 -Q4' ' _ Director of Employee Services Signature Date .. Christine HurleyD.al2 . 4 nH40y County Administrator Signature Date F.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 EMERGENCY SERVICES Updated:04/09/2026