This position is located in the Business Office at the Cheyenne River Health Center in Eagle Butte, SD. The position performs analysis, maintains and directs Accounts Receivable operations for third party programs and acts as an advocate in the collections of alternative resources. Actively performs audits and claim reviews to ensure documentation and accountability on health insurance claims submitted for payment. Re-Advertisement: Please see Additional Information section below.

Duties

1. Oversees accounts receivable and outstanding account reimbursement functions. 2. Processing a wide variety of transactions and compiling reports for third party billing activities and accounts. 3. Generate aged reports for follow-up and collection of outstanding accounts. 4. Coordinates collections for third party reimbursement program.5. Reviews patient accounts to determine the status of the account.

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. 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. MINIMUM QUALIFICATIONS: GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Responsible office work to include processing of business transactions, such as the inputting, reviewing, organizing and analyzing of data as accomplished through the use of automated database and/or electronic business systems. OR Completion of 4 years of education above the high school level. OR A combination of education and experience. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement. GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Progressively responsible office work to include processing of business transactions, such as the inputting, reviewing, organizing and analyzing of data as accomplished through the use of automated database and/or electronic business systems; preparing and reviewing documents to verify data and to identify necessary entries into automated database and/or electronic business systems; maintaining manual filing systems; and working to resolve unpaid balances. GS-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Processing third party health plan transactions, generating and analyzing aged summary reports, maintaining patient accounts in automated systems to include posting claim payments and adjustments, monitoring claim payment rollover to secondary and tertiary billing, monitor account balances, review posting to ensure accuracy, and recommend appropriate correction action, performing account reconciliation, maintaining manual filing system of records related to collections, denials, and other pertinent revenue cycle documents, coordinating collection of open patient accounts and working closely with internal stakeholders and external agencies and third party payers to resolve unpaid balances for medical services rendered, compiling reports for third party billing activities and accounts 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 30 days of the closing date of the announcement.

Education

There are no education requirements, however if you are planning to substitute experience for education at the GS-05 (only), 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 Cheyenne River Service Unit 24276 166th Street Airport Road Eagle Butte, SD 57625 US
• Name: Joseph Dudley
• Phone: 605-226-7203
• Email: [email protected]