About the Position: Incumbent is responsible for all phases of the Third Party Collection Program (TPCP) billing program. This position is located within the Army Medical Center Darnall within the Central Texas Market.

Duties

Determines what medical information is required and obtains same from Inpatient, Outpatient, Ambulatory Procedure Visit, and/or Observation Records to initiate billing activities. Utilizes a thorough knowledge of medical terminology and disease processes to analyze each record of treatment to ascertain which visits meet the billing criteria. Reviews all documentation related to the visit i.e., bundling/unbundling of Laboratory/Radiology charges and various other charges to assure accurate billing. Generates bills for outpatient visits, radiology/laboratory procedures, ambulatory procedure visits, observation care, ambulance and pharmaceutical supplies utilizing the Third Party Outpatient Collection System (TPOCS). Creates a pull list report in automated systems for outpatient records, reviews the outpatient medical record for possible billing.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This is a financial Management level 2 Certified position the National Defense Authorization Act (NDAA) 2012, Public Law 112-81, Subtitle F- Financial Management, Section 1599d.
• Incumbent shall comply with the requirements of this certification program. Certification Level 1: Incumbent of this position is required to comply with all Department of Defense and Department of the Army requirements of this certification program.
• Failure to obtain this certification within the required time frame of 2 years, may subject the incumbent to adverse action.

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. 30 Percent or More Disabled VeteransCurrent 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 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 utilizing automated systems to generate or maintain files/documents; retrieving and reviewing information to ensure accuracy for appropriate billing third party billing; and communicating with necessary personnel to resolve issues regarding the billing process. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. You will be evaluated on the basis of your level of competency in the following areas: ClericalComputer SkillsInsuranceTechnical 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

This job does not have an education qualification requirement.

Contacts

• Address JT-DHA-DD83DC DHA CENTRAL TEXAS MKT-DARNALL AMC DO NOT USE Fort Cavazos, TX 76544 US
• Name: Army Applicant Help Desk