Job Information
Indian Health Service Medical Support Assistant (Billing/Voucher) in Parker, Arizona
Summary THIS POSITION IS BEING RE-ANNOUNCED TO SOLICIT ADDITIONAL CANDIDATES; APPLICANTS WHO PREVIOUSLY APPLIED TO THIS ANNOUNCEMENT NEED NOT RE-APPLY UNLESS SUBMITTING UPDATED INFORMATION AND/OR MISSING FORMS. Responsibilities ORGANIZATIONAL LOCATION: Department of Health & Health Human Services (HHS), Indian Health Service (IHS), Southwest Region, Phoenix Area-Operations Division/Patient Business Office, Parker Indian Health Center. Position is located in Parker Arizona. Position is supervised by the Supervisory Health System Specialist. Primary position is to perform accounts receivable support functions for the patient account system, through the billing, denial of claims to accounts receivable. Major Duties: Receives and examines alternate resource claims for quality and completeness, assuring claims have appropriate supporting documents. Coordinate collections for the third party reimbursement program Develop statistical reports and control methods in determining receivables and collections. Identifies, audits, posts, and collects from third party health plan carriers to recover maximum dollars. Responsible to review for accurate processing all of billing for all denials and payments of intial claims. Requirements Conditions of Employment Selectee may be subject to a probationary period ESEP appointees typically serve a two year probationary period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Confidential Financial Disclosure Form required. Adherence to the IHS Employee Immunization Policy, SGM 21-04, and the IHS Circular 2016-04 requiring Measles and Rubella, COVID-19, and seasonal influenza immunizations for staff working in Indian Health Service health care facilities OR an exemption request will need to be submitted. 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/. Schedule: Monday to Friday; 40 hour work week. 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. 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-6: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least theGS-5 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Review billing insurance claims, post payments received from patients and third party payers, and following up on unpaid accounts. GS-7: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-6 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Generate a variety of third party and accounts receivable reports, generate aged reports, review delinquent patient account records, prepare claims for reimbursement of health services, complete work assignment with less than normal supervision. GS-8: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-7 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performing independent analysis and problem solving to develop appropriate information and evidence timely to generating third party alternate resources claims; tracking insurance claims and payments in all levels of examination; and maintenance of data in processing alternate resources reimbursement. 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 There are no education requirements. 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. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. A Recruitment or Relocation Incentive may be authorized and is subject to availability and service unit approval. If offered, you will be required to sign a service agreement. The service period may not be less than 6 months and may not exceed 4 years. Failure to fulfill the service agreement will result in repayment of the incentive. This position is covered by a Bargaining Unit. This position has promotion potential to the GS-08 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.