FISCAL ACCOUNTS CLERK II
Recruitment #26-004518-0001
| Department | MDH Local Health - Howard County |
|---|---|
| Date Opened | 1/21/2026 10:23:00 AM |
| Filing Deadline | 2/5/2026 11:59:00 PM |
| Salary | $45,595.00 - $57,716.00/year, with potential growth to $70,152.00/year |
| Employment Type |
Full-Time
|
| HR Analyst | Michelle Joyce Tracy |
| Work Location |
Howard
|
GRADE
LOCATION OF POSITION
Main Purpose of Job
POSITION DUTIES
- Staffs the clinical reception desk to register clients, update client demographic information, copy/scan records, and provide return appointments
- Assists clinic clients registering utilizing EHR Kiosk, updating and verifying client demographics, income information and insurance eligibility, scanning identification cards and insurance cards for all clients.
- Responds to inquiries, makes determinations and resolves problems relative to inaccuracies and discrepancies in client records and documents being processed
- Interviews clients to determine fee scale eligibility by obtaining proof of income
- Enter all financial information obtained during the fee determination into EHR (fee determination documents, client family and/or individual income and number of dependents to determine fees)
- Screens clients for insurance eligibility using EHR, EVS or various insurance portals, obtains authorization and pre-authorization. Verifies if there is a deductible and if it has been met
- Reviews superbill for self-pay clients to verify codes/charges and ensure fee scale has been applied.
- Creates charges for clients at the end of each client visit in accordance with both Medical Assistance and Fee for Service standards · Provides return appointments for clients at end of client visits
- Performs a variety of financial tasks including processing checks, processing credit card payments, and cashiering
- Maintains accurate accounts receivable receipts for clinic services
- Reconciles collections along with supporting documentation and delivers to the fiscal department according to protocol to ensure compliance with auditing procedures
- Refers clients to Access to HealthCare to apply for insurance benefits
- Monitors and follows up with client visits pending for MA approvals and directs clients to Access to HealthCare regarding eligibility and processing
- Receives mail, date stamps mail and labs; sorts and distributes to appropriate staff or sites according to protocol; checks related sources for updated client information
- Collects and combines outgoing mail and takes to drop box
- Directs laboratory pick-up for various couriers
- Faxes, client records and receives faxes through fax server; assist staff in scanning and faxing of materials related to clinical services
- Performs data corrections of Clinic Visit Records (CVRs) to client accounts in EHR to meet Healthstat and MCH/Ahler’s for MCH/FPAR report
- Receives and screens telephone calls to appropriate staff; completes telephone triage process and forwards messages to the assigned staff
- Bilingual (Spanish) communication with clients for check in and check out procedures.
- When clients speak a language besides Spanish/English, uses Language Line to facilitate conversation.
- Schedules clients for all available clinical activities at the health centers through EHR system. Reschedules clients as appropriate for missed appointments. Calls clients for appointment reminders
- Practices confidentiality and follows agency policies regarding client’s rights, uses appropriate lines of communication within the agency
- Reports to charge nurse or supervisor problems related to the registering or fee scaling of clients. Seeks assistance when needed
- Directs walk-in request for service or information and refers to the appropriate staff in order to provide timely service to the public
- Understands the operations of the program and can answer questions accurately.
- Understands basics of the HCHD and can refer and transfer clients to appropriate program(s).
- Knows how to use language line for clients who need language assistance.
- Directs walk-in services requests to appropriate staff or program
- Recommends changes in office procedures to improve efficiency
- Review, verify and interpret information in records, referrals and other documents by utilizing knowledge of policies and procedures
- Responds to inquiries, makes determinations and resolves problems relative to inaccuracies and discrepancies in client records and documents being processed
- Possesses a broad understanding of HCHD services and can refer to other programs.
- Participates in necessary drills and exercises, responds to emergencies as appropriate, keeps abreast of policies and procedures in the program, bureau and department.
- Completes all required trainings.
- Provides assistance as needed with minor written or oral Spanish translation needs for other staff members.
- Accepts responsibility for special projects as assigned
- Participates in community clinics as needed
MINIMUM QUALIFICATIONS
Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: Two years of experience reviewing, verifying, recording, adjusting and balancing financial transactions.
Notes:
1. Experience calculating and recording financial, statistical or other numerical data may be substituted on a year-for-year basis for the required high school education.
2. Six credit hours in accounting from an accredited college or university may be substituted for one year of the required experience.
3. A minimum of five courses or six months of accounting-related training in a vocational training program in subjects such as journalizing transactions, analyzing transactions into debits and credits, posting to a general ledger, payroll, bank reconciliations, accounts payable, and accounts receivable may be substituted for one year of the required experience.
4. Candidates may substitute U.S. Armed Forces military service experience in Financial Clerical/Finance Technicians classifications or specialty codes in the financial field of work at a rate of one year of military experience for the required experience.
DESIRED OR PREFERRED QUALIFICATIONS
- Bilingual in Spanish.
- Experience providing and managing consumer cases/services using an Electronic Health Records (EHR) and/or Electronic Medical Records (EMR).
- Experience with Medical Billing processes.
- Experience with Medical office check-in and check-out procedures.
SELECTION PROCESS
Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).
Complete applications must be submitted by the closing date. Information submitted after this date will not be added.
Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application.
Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.
BENEFITS
FURTHER INSTRUCTIONS
Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.
If additional information is required, the preferred method is to upload. If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.
For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.
If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov.
Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.
We thank our Veterans for their service to our country.
People with disabilities and bilingual candidates are encouraged to apply.
As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.
Click on a link below to apply for this position:
| Fill out the Supplemental Questionnaire and Application NOW using the Internet. | Apply Online |
| View and print the Supplemental Questionnaire. | This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here. |
| Apply via Paper Application. | You may also download and complete the Paper Application here. |



