This position is located in the Division of Financial Services, Patient Business Services at the Phoenix Indian Medical Center, in Phoenix, AZ. The incumbent serves as a Supervisor, in the Third Party Billing (TPB) Section, with the primary function of assuring a timely efficient system of reviewing billing claims with the TPB package and issuing payments from third party alternate resources; and perform a variety of management analysis assignments to determine their efficiency.

Duties

This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. Performs long and short-term analysis to determine efficiency of Third Party Billing systems. Prepares workload and production reports to measure their impact on Third Party Billing programs. Supervises and trains employees of Third Party Billing operations. Analyzes and evaluates management practices to identify deficiencies in the billing of services transactions. Compiles data on billing of services transactions for review to management. Processes payments and/or non-payments of patients through alternate resources (i.e. Medicare, Medicaid, Private Insurance, Commission Officers Tricare, and third party liability claims). Investigates and solves complaints between beneficiaries, healthcare providers, and Private insurance companies regarding debt collection, eligibility, and nonpayment or incorrect payment claim.

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. Resume: You are highly encouraged to use USAJOBS Resume Builder to ensure all required information is included in your Resume. If you use your own resume, curriculum vitae, or any other written form you choose then you must describe your job-related qualifications that includes beginning and ending dates for paid and non-paid work experience, hours worked per week, month and year of employment for each job title listed, annual salary, and description of job duties. Include name and address of employer; supervisor name and telephone number. 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. 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. MINIMUM QUALIFICATIONS, GS-0671-11: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-09 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Review billing claims in a timely efficient matter using Third Party Billing systems and to apply Third Party Billing functions, such as examining, verifying, and maintaining data of transactions in a health care delivery system and other regulatory systems. OR Completed a Ph.D. or equivalent doctoral degree or 3 full years (54 semester hours) of progressively higher level graduate education leading to such a degree, such education must demonstrate the knowledge, skills, and abilities necessary to do the work or LL.M., if related. OR Combination of the specialized experience and education described above. To determine if you qualify under this combination first divide your total months of qualifying experience by 12. Then divide your semester hours of graduate education beyond 2 years by 18. (Note: Only education in excess of the second year is creditable toward meeting the experience requirement when combining experience and education.) Finally, add the two percentages. The total percentage must equal at least 100 percent to qualify. Note: You must provide copies of your graduate transcripts. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within the closing date of the announcement.

Education

This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.

Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Phoenix Service Unit 1616 E Indian School Rd Suite 360 Phoenix, AZ 85016 US
• Name: Yanibah Yazza
• Email: [email protected]