This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. The position of Health System Specialist is located in the Branch of Business Office Services, Division of Administrative Services, Wind River Service Unit, Ft. Washakie, Wyoming. Position reports to the Deputy Chief Executive Officer or designee.

Duties

Direct the third party reimbursement program and subordinate staff. Monitor, analyze and conduct periodic audits of the reimbursement system to ensure timely, accurate and proper billing and collection of claims from third party insurances. Respond to correspondence generated by third party insurance carriers to assure maximum collection on submitted bills. Use automated system to: run reports to identifying billing backlog, accounts receivable of revenue from third party claims, etc.. Keep abreast of latest national, federal, and state statutes, rules, regulations and policies on business office billing concepts, products, materials, information and trends. This position will support the Federal Government's response efforts to COVID-19.

Requirements

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. For positions requiring positive education requirements, OR if you are using education to meet all or part of the qualification 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. INDIVIDUAL OCCUPATIONAL REQUIREMENTS: Undergraduate and Graduate Education: Major study -- hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. OR Specialized Experience: (for positions above GS-5): Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: -Missions, organizations, programs, and requirements of health care delivery systems; -Regulations and standards of various regulatory and credentialing groups; and -Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. MINIMUM QUALIFICATIONS: GS-11: Ph.D. or equivalent doctoral degree; or 3 full years of progressively higher level graduate education leading to such a degree; or LL.M., if related OR your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Comprehensive responsibilities as a supervisor to include: direct the activities of the Accounts Receivable and/or Denial/Accounts Management functions, perform long and short range planning, evaluation, and analysis; and projection of future resource requirements, personnel administration, provide training, development, and orientation of new and existing employees, and continuous quality improvement; Perform a variety of accounts receivable and denial/accounts management functions such as: examination, verification and maintenance of data involved in processing payments, denials and partial payments from alternate resources; determine the eligibility of patients; Identify and analyze issues, problems and challenges facing the revenue cycle management; Evaluate and compile data of denied claims and analyzes status reports for review to Management.

Education

There are no education requirements.

Contacts

• Address Wind River Service Unit P O Box 128 29 Blackcole Drive Fort Washakie, WY 82514 US
• Name: Kaycee Neal
• Phone: 4062477217
• Email: [email protected]