Duplin County NC


DEPARTMENT:   Duplin County Health Department

 SALARY:    $16.8308 Hourly / $ 35,008 Annually

OPENING DATE:  August 29, 2019         “OPEN UNTIL FILLED”                                                                                                                                   

APPLY AT:  Duplin County Personnel Office
                       County Administration Building
                       224 Seminary Street
                       Kenansville, NC  28349                                                                                                                       


                      “Equal Opportunity Employer”                                                     

                       Website Address:  www.duplincountync.com




The primary purpose of this position is to provide professional and accountable management for the fiscal responsibilities of Duplin County Health Department. This position is responsible for development, maintenance, and implementation of a very complex, diversified system with 31 separate budgets which consist of State and Grant programs, Third Party Insurance, and County Appropriations. The timely, integrated, and accurate performance of the various systems (budgeting, accounting, reimbursement, and management information) are required to support the overall activities of the Health Department.


This list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.

70% Accounting and Fiscal Management

  • Prepares annual budget including projecting expenses and anticipating funding from various sources such as state program, grants, fees and third-party earnings.
  • Distributes State WCH revenues among family planning, maternal health, child health, and immunization programs as staff activity and program demands dictate.
  • Monitors monthly General Ledger for funding adequacy, determination of meeting income projections, and posting errors.
  • Submits amendments, revisions, and justifications for reallocating funds for line item shortages or special unbudgeted purchasing needs.
  • Assesses staffing levels for program activities and allocates resources according to time allocation.
  • Monitors staffing levels quarterly and submits budget revisions to cover salary and fringe expenses charged to each activity/program.
  • Compiles data for equipment and special requests which comprise written justification of expenditures, price quotes from vendors, and identification of funding sources.
  • Assists Health Director with presentation of annual budget to county budget committee.
  • Prepares special budgets for grant proposals meeting specifications of granting agency.
  • Completes monthly expenditure reports and annual reports for state and grant expenditures based on program guidelines.
  • Reviews monthly accounting reports to determine trends for monitoring income.
  • Periodically reviews fee schedules and makes recommendations to Health Director for changes, ensuring agency meets Medicaid requirements concerning fee structure.
  • Prepares monthly summary report to Health Director including income and expenses by program activity.
  • Ensures the implementation of fee changes, sliding fee scales and billing policies.
  • Reviews monthly schedule of receipts, codes program amounts for deposit, and submits to Finance Office.
  • Collects and prepares data for annual Medicaid Cost Study. Works with Office of Medicaid Reimbursement staff during visit providing supplemental information and answering questions relating to material provided.
  • Develops financial policies/procedures for Health Director and/or Board of Health approval. This includes fee policies, income verification, bad debts, etc.
  • Reviews and approves all agency purchase requests identifying appropriate budget codes and assuring availability of funds for purchase.
  • Maintains a good working relationship with County Finance Office, and other county offices to assure close cooperation and communication with the county in developing and providing resources and a continuum of support.
  • Provides Management Team Members with coordinated, quality administrative budgetary guidance.
  • Addresses needs and requests of county auditors as they relate to Health Department fiscal accountability.
  • Offers guidance and prepares budgets for grants.
  • Serves as member of supervisory management team for program development and management.
  • Assures that all aspects of EMS Billing and Collections for ambulance services are being done in a timely manner.
  • Serves as a Super User for the Electronic Medical Records System (Cure MD).

25% Supervision

  • Directly supervises two Accounting Technician IIs. These positions are, in turn, responsible for supervising two Accounting Technician Is.
  • Provides guidance, support and training to management support staff in regards to their specific areas of responsibility.
  • Assesses work processes and establish new procedures as needed.
  • Supervises all aspects of supply acquisition including submission of purchase requests to county Finance Office, receiving materials ordered, documenting receipt, distributing/storing supplies, and paying invoices. Works with Accounting Technician to resolve any problems encountered.
  • Supervises accounts payable providing guidance to Accounting Technician in resolving billing issues and discrepancies.
  • Supervises accounts receivable providing guidance to Accounting Technician in managing patient charges and accounts.
  • Prepares, reviews, and/or recommends policies/procedures for the accounting support work processes.
  • Conducts performance reviews annually and other determined intervals.
  • Ensures designated staff deposit all revenue received in the agency with the Finance Office daily.

4% Other Duties

  • Reviews daily and monthly statistical reports of services delivered to determine service utilization trends.
  • Conducts periodic reviews of Encounter Forms to note documentation and potential billing problems/errors.
  • Make sure outstanding orders are followed up on in timely manner.
  • Attends conferences, staff meetings, and training as needed.
  • Maintains pertinent files and information for Health Director.
  • Assists Health Director on special projects at his/her direction.
  • Serves as back-up for payroll and personnel.
  • Serves as Deputy Registrar for Vital Records.


While the following tasks are necessary for the work of the unit, they are not an essential part of the purpose of this position and may also be performed by other unit members:  Assists in staffing shelters during emergencies as assigned by the Health Director and Performs related duties as required.



Graduation from a four-year college or university with a major in accounting, business administration, or other curriculum that would provide a core curriculum in financial management coursework; or A two-year degree in accounting from a business school or community college and two years of accounting or auditing experience; or Graduation from high school and six years of experience as an accounting technician, three of which must have been at an advanced level.  Additional Training/Experience Desired:  Budgeting, personnel, policy development, and administrative management experience, preferably in local government.

Training and experience in computer operations.


  • Valid NC Driver’s License ·              Reliable means of transportation