About the Position: Supervisor and Health Insurance Specialist for the Third-Party Collection Program (TPCP) Womack Army Medical Center (WAMC). Functions primarily as supervisor and technical coordinator of the TPCP and technical expert in developing, coordinating, and evaluating the Third-Party Collection Program Billing. This is a Direct Hire Solicitation

Duties

Manage, monitor, and evaluate performance of the Womack Army Medical Center (WAMC) Third-Party Collection Program (TPCP) TPCP interpreting and applying guidelines from higher headquarters. Develop and implement policies and procedures to ensure appropriate and timely submission of patient claims to third party payers. Responsible for the accounting, reporting, and processing actions relative to funds billed, collected, deposited. Resolve questions regarding billing of other health insurances provide to WAMC?s beneficiaries. Supervise Third Party Collection Program in all aspects of the Business Office, billing patient accounts and insurance companies, and accounts receivable functions. Provide administrative and technical support, advises on new procedures and requirements, and actively supports implementation of the hospital compliance program for the Uniform Business Office (UBO). Perform personnel management functions such as planning and revising work schedules and assignment to ensure an even flow and distribution of work.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Appointment to this position is subject to a background investigation to determine your suitability for Federal employment (NACI).
• This position has a mandatory seasonal influenza vaccination requirement and is subject to annual vaccination.
• This is a Financial Management Level 2 position. Required Level 2 FM certification is to be obtained within 24 months of occupying the position.

Qualifications

Who May Apply: US Citizens In order to qualify, you must meet the specialized experience and/or education 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. Specialized Experience: One year of specialized experience which includes verifying third party insurance status; sending copies to third party collection for billing purposes; utilizing software programs for third party health insurance billing; and/or providing a variety of statistical data reports to ensure accuracy and timeliness. This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-07). OR Education: Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as: hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. 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) beyond the first year (total graduate semester hours minus 18) by 18. Add the two percentages.

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-DDAAFN DHA CENTRAL NC MARKET DO NOT MAIL Fort Liberty, NC 28310 US
• Name: Army Applicant Help Desk