Billing Technician

Company: Indian Health Service
Location: Kayenta
Posted on: May 20, 2023

Job Description:

Summary This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. This position is located in Kayenta Service Unit, Business Office Branch, Kayenta, Arizona. The primary purpose is the overall responsibility for a major segment of the accounts receivable management function. Includes the submission of claims, responsible parties and rebilling or corrected billing of accounts. Responsibilities Responsible for the accurate and timely preparation and submission of claims to third party payers, intermediaries, and responsible parties Responsible for maintenance and control of unbilled claims for an assigned section of patient receivables Responsible for verification that all control functions assigned are maintained daily Reviews system generated reports daily to identify claims that are ready for billing Responsible for the error correction for all rejected/suspended claims previously submitted to third party payers and intermediaries and patients Notifies supervisor of all claims deemed unbillable Documents of all activity performed on patient accounts in the patient financial folder Provides supervisor with an accurate accounting of all claims in the assigned section of patient receivables Responsible for self-education by reading all third party newsletters, periodicals and updates circulated by management Requirements Conditions of Employment Selectee may be subject to a probationary/trial period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 Confidential Financial Disclosure Form required. Measles and Rubella immunization required for selectees born after 1957. Seasonal Influenza immunization is required for civilian health care facility staff working in Indian Health Service health care facilities. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. Fingerprinting, as part of the background investigation process, may be delayed due to COVID-19. All other background investigation procedures will apply. Be advised that your continued employment will require you to complete a fingerprint check within 60 days after notification of return to full operations and successfully obtaining a favorable background investigation. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS: GS-05: One (1) year of specialized experience at the GS-4 level and/or 4 years above high school; or a combination of both specialized experience and education. Specialized Experience: candidates must demonstrate ability to bill for a health care center where incumbent is expected to collect and enter claim information, post insurance and patients and manage accounts, submit claims and following up with insurance carriers on unpaid or rejected claims, answer patient inquires on account status and charges. Examples of work that demonstrates this ability include: compile account statements, compute balances and record billing payments for any company. Responsible for preparing invoices for services rendered or for the delivery of goods. Calculate interest, penalties and late fees for clients who are past due on their accounts. Work daily with both paper forms and specialized computer programs when inputting and analyzing account information. GS-06: One (1) year of specialized experience at the GS-05 level. Specialized Experience: candidates must be knowledgeable on insurance and reimbursement process to collect and enter claim information, post insurance and patients and manage accounts, submit claims and following up with insurance carriers on unpaid or rejected claims, answer patient inquires on account status and charges. Examples of work that demonstrates this knowledge include: analyzing billing operations for third party (health care) programs; acting as an advocate in the collection of alternate resources (insurance, Medicaid etc.); assuring collections, billed data and computerized and manual reports are in balance; and ensuring accountability of health insurance claims submitted for payment. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement. Education For positions requiring positive education requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume. When there is a positive education requirement, or you are using education to qualify as a substitution for experience, transcripts (unofficial) are required at the time of application to verify that you meet the educational requirement or substitution. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation Additional Information Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. This position is covered by a Bargaining Unit. This position has promotion potential to the GS-06 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.

Keywords: Indian Health Service, Saint George , Billing Technician, Accounting, Auditing , Kayenta, Utah