About the Position: This position is located at Bayne-Jones Army Community Hospital in Fort Polk, Louisiana.

Duties

Bill insurance companies for services in accordance with claims processes. Review insurance claims daily from all clinics to include Pharmacy, Radiology and Laboratory. Contact clinics to obtain missing claims or to clarify information provided by the physician (e.g., diagnosis or procedure). Contact patients to clarify or verify information provided on insurance information forms to ensure correct billing information is entered into computer system. Contact various clinics and/or health care providers in writing and/or telephonically to obtain additional information as required. Gather information needed to justify treatment provided. Coordinate with insurance companies to obtain benefit information and/or status of the delinquent claims.

Requirements

• Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
• Pre-employment physical may be required.

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 WorkforceExecutive Order (E.O.) 12721Interagency 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 1998Veterans Recruitment Appointment (VRA) In order to qualify, you must meet the 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. Specialized Experience: One year of specialized experience which includes: 1) reviewing medical records for accuracy; OR 2) analyzing documents for billing purposes; OR 3) corresponding with insurance companies to process claims. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05). You will be evaluated on the basis of your level of competency in the following areas: Computer SkillsCustomer Service (Clerical/Technical)Manages and Organizes Information 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

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.

Contacts

• Address JT-DHA-DD83CH DHA STAND-ALONE MKT-BAYNE ACH DO NOT USE Fort Johnson, LA 71459 US
• Name: Army Applicant Help Desk