About the Position: The Health Insurance Technician (Office Automation) position is located at William Beaumont Army Medical Center, Director for Administration, Resource Management, Uniform Business Office.

Duties

Responsible for patient account management including billings, tracking of outstanding accounts receivable, collections, depositing of monies, and periodic reporting requirements. Efficiently and effectively assisting in the administration of account management of the Third Party Collection Program. Interview, explain and answer questions regarding TPCP to patients and their insurance companies. Determine appropriate International Classification of Disease (most recent edition), (ICD-10) and current Procedural Terminology-4 (CPT-4) codes to define diagnosis, procedures, and level of intensity of evaluation and management codes. Accountable and responsible for accuracy in coding due to civil penalties for misrepresentation of diagnosis and medical treatment contained in Omnibus Budget Reconciliation Act of 1986 and Omnibus Budget Reconciliation Act of 1987. Review payments and Explanation of Benefits (EOB) received from the insurance companies. Receive and respond to a wide variety of correspondence (i.e., requests for additional information and denials) and telephone inquiries.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• A Personnel Security Investigation is required.
• This is a DOD Financial Management position. The incumbent must complete training and meet position requirements for certification at Level 1 within 2 years of appointment. Failure to obtain and maintain certification may result in adverse action.
• This position requires protection of information under the provisions of Privacy Act of 1974 and other applicable laws and regulations.
• This position may require the incumbent to work weekends and/or holidays.

Qualifications

Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected. Current Civilian Employees of the Defense Health Agency (DHA)Current Permanent Department of Defense (DoD) Civilian EmployeeDomestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel WorkforceInteragency Career Transition Assistance PlanLand Management Workforce Flexibility ActMilitary Spouses, under Executive Order (E.O.) 13473Non-Appropriated Fund Instrumentality (NAFI)Non-Department of Defense (DoD) TransferOffice of Personnel Management (OPM) Interchange Agreement EligiblePeople with Disabilities, Schedule APriority Placement Program, DoD Military Spouse Preference (MSP) EligibleReinstatementVeterans Employment Opportunity Act (VEOA) of 1998 In order to qualify, you must meet the education and/or experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Proficiency Required: This position requires a qualified typist. A qualified typist can type 40 words per minute based on a 5 minute sample with three or fewer errors. Specialized Experience: One year of specialized experience equivalent to the GS-05 grade level in the Federal service which includes applying third party billing; reviewing insurance claims for accuracy and completion; filing and maintaining insurance records; and utilizing office automated programs to generate or retrieve insurance data. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05). OR Education: A half year (i.e., 9 semester hours) of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position such as Health Management. OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 9. Add the two percentages. You will be evaluated on the basis of your level of competency in the following areas: Attention to DetailComputer SkillsInterpersonal SkillsReasoning (Clerical/Technical)Technical Competence Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-05).

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address JT-DHA-DD83DA DHA EL PASO MKT-BEAUMONT AMC DO NOT USE El Paso, TX 79920 US
• Name: Army Applicant Help Desk