BUSINESS MANAGER III - SES - 50000808

Requisition No: 860942 

Agency: Veterans Affairs

Working Title: BUSINESS MANAGER III - SES - 50000808

 Pay Plan: SES

Position Number: 50000808 

Salary: $57,496.96-$58,646.90 

Posting Closing Date: 09/22/2025 

Total Compensation Estimator

BUSINESS MANAGER III – SES

FLORIDA DEPARTMENT OF VETERANS' AFFAIRS

Mary Grizzle State Office Building

Largo, Florida

A formal offer of employment is contingent upon successful completion of a Level 2 background screening and due diligence process.

Starting base salary is $57,496.92-$58,646.90

MINIMUM QUALIFICATIONS

• Must have a minimum of four (4) years of experience in professional billing or accounting.
• Must be proficient in the use of computer applications: Microsoft Office Suite and Internet Research.
• Must have the ability to communicate clearly and effectively, convey ideas, both verbally and in writing.
• Must have the ability to work on multiple, complex projects and the ability to solve problems effectively and develop workable solutions.
• Successful completion of the due diligence process to include, but not limited to, a Level II background check.
• Supervisory skills and experience.

PREFERRED QUALIFICATIONS

Preference will be given to candidates with the following qualifications:

• Experience in Nursing Home/Long-Term Care billing and/or Healthcare insurance billing.
• A Bachelor's degree in a related field, from an accredited college or university. Direct experience may substitute for the degree requirement on a year for year basis.
• Knowledge of State of Florida Medicaid and Medicare/CMS federal laws, rules, regulations related to Long Term Care billing.
• Knowledge of and experience using Medical billing and Health Information software systems.
• Strong experience with accounts receivable and collections.
  
  

POSITION DESCRIPTION

This is an independent professional financial position responsible for the timely billing and collection of all claims resulting from the delivery of long-term care services provided to veterans residing in the State Veterans’ Nursing Homes. Ensures the Florida Department of Veterans’ Affairs (FDVA) remains in compliance with all State and Federal billing regulations.

Through the administration and supervision of centralized third party billing activities and staff, this position:

• Coordinates the planning, development, organization, implementation, and evaluation of the billing unit policies and procedures.
• Organizes, evaluates and monitors billing unit operations in accordance with established policies.
• Provides training, support, and backup for staff as needed.
• Directs, supervises, and monitors billing staff responsible for Third Party billing and collection including but not limited to Medicare A and B, Medicaid, Medicaid Managed Care, and Commercial Insurance. Ensures timely and accurate submission of claims and conducts a minimum monthly detailed review of aging accounts with staff.
• Coordinates research, resubmission, appeals, and resolution of denied claims.
• Collaborates with Homes Program staff regarding all resident payor accounts as needed.
• Ensures timely posting of payments for all Third Parties.
• Assists and provides reports for submission of Cost Reports.
• Monitors the use of Health Information Systems used for Claims Management.
• Evaluates overall staff performance quarterly, annually and as needed.

Language

English proficiency.

Knowledge

Knowledge of Medicare, Medicaid, Managed Care, and Commercial third party billing. Knowledge of the principles and techniques of effective verbal and written communication. Knowledge of State of Florida and Federal rules and regulations regarding Long Term Care and Medical billing.

Skills

Applicant must have leadership skills. Excellent communication skills (written and verbal). Excellent interpersonal and customer service skills. Computer skills (Internet searches, Excel, Word, etc.). Highly motivated and work well in a team environment. Applicant must have strong organizational skills.

Abilities

Applicant should possess the ability to multi-task, handle short deadlines, be detail oriented & flexible, and possess the ability to maintain effective working relationships at all levels. Applicant must possess the ability to communicate effectively verbally and in writing. Applicant will possess the ability to delegate effectively, train staff, supervise others and plan, organize, and coordinate work assignments. Applicant should be able to collect and analyze data in order to identify trends, and communicate issues in a clear and concise manner. Applicant must possess the ability to understand and apply applicable rules, regulations, policies, and procedures.

Examples of Work

Directing, supervising, monitoring and performing the following activities:

• Electronic transmission of Medicare, Medicaid, and Commercial Insurance claims.
• Posting of payments received from Medicare, Medicaid and Commercial Insurance for services received.
• Research and analyze why claims were not paid and develop collection plans.
• Review of third party accounts receivable for timely collection and provide detailed status reports.
• Appeal denied claims with proper supporting documentation.
• Identify credit balances, research and resolve (refunds or adjustments).
• Maintain knowledge of related changes in the healthcare environment and ensure policies, methods, and procedures reflect those changes.
• Training, support, and back-up of staff.
• Serves as team leader or team member on various project teams. Coordinates and directs the work of other employees.
• Researches, State of Florida and Federal rules and regulations as well as Commercial Insurance guidelines.
• Other duties as assigned.

This is a Select Exempt Service (SES) Position

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.