This position is located within the Assistant Commandant for Resources (CG-8), Office of Resource Management (CG-83), in the Pay and Benefits Division (CG-832), at USCG headquarters, in Washington, D.C.

Duties

This position serves as a Health System Specialist and manages Coast Guard's health care reimbursement programs, including Medical Affirmative Claims (MAC) (formerly Third-Party Liability), Third Party Collections (also referred to as Other Health Insurance (OHi), Department of Defense (DoD) billing and Accrual Fund billing. Develops program policy, and management controls, coordinates with the Coast Guard Financial Center (FINCEN) and provides and submits all billing documentation for payment from reimbursable entities. Ensures outgoing medical claims have been audited for accuracy, conducts case follow-up, and closes all outstanding cases. Liaisons with Coast Guard Legal for appropriate legal reviews of all activities.

Requirements

• U.S. Citizenship is required.
• Males born after 12/31/1959 must be registered for Selective Service.
• This position requires a National Agency Check with Inquiries (NACI).
• This position may require a one-year probationary period.
• Time-in-grade requirements must be met by closing date.

Qualifications

Basic Requirements:  Undergraduate and 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. OR At the GS-12 level: Applicants must have one year of specialized experience equivalent to at least the GS-11 grade level in the federal service. Specialized experience includes:  Applicants must MEET all three conditions below and must be demonstrated in your resume/supporting documents.   Developing program policy, management controls, coordinating with Financial Centers; AND Providing and submitting all billing documentation for payment from reimbursable entities;  AND Ensuring outgoing medical claims have been audited for accuracy, conducts case follow-up, and closes all outstanding cases. At the GS-13 level: Applicants must have one year of specialized experience equivalent to at least the GS-12 grade level in the federal service. Specialized experience includes: Applicants must MEET all four conditions below and must be demonstrated in your resume/supporting documents. Knowledgeable in Health System business processes, policies and regulations; AND Developing program policy, management controls, coordinating with Financial Center; AND Providing and submitting all billing documentation for payment from reimbursable entities; AND Ensuring outgoing medical claims have been audited for accuracy, conducts case follow-up, and closes all outstanding cases. National Service Experience (i.e., volunteer experience): 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). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Office of Personnel management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule, C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office.

Education

If you are including education on your resume, report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. See Required Documents section for detail.

FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet Federal qualification requirements if you can show that your foreign education is comparable to education received in accredited educational institutions in the United States. It is your responsibility to provide such evidence with your application. See Recognition of Foreign Qualifications click here.

Contacts

• Address United States Coast Guard 2703 Martin Luther King Jr. Ave SE STOP 7912 Washington, District of Columbia 20593 United States
• Name: USCG Applicant Support
• Phone: 866-656-6830
• Email: [email protected]