This position is located in the Wagner Health Center Business Office (BO). The primary purpose of this position is to function as the Manager of the facility BO. Incumbent is responsible for managing and directing the BO billing activities, patient registration, admissions, and is responsible for the management of the BO and all third party collections with emphasis on dollars received.

Duties

The incumbent directs the third party reimbursement program. The objective of this program is to identify, track, bill, and collect from third party health plan carriers for inpatient/outpatient clients to recover maximum dollars. Responds to all correspondence generated by third party insurance carriers. Incumbent is responsible for planning, organizing evaluating work assignments of the BO. Incumbent displays initiative in promoting suggestions to improve the overall operation as well as stressing cost containment. Incumbent ensures high quality services and support by maintaining maximum performance. Provides oversight to ensure establishment of admitting procedures, direct management of Patient Registration insuring that all patients are interviewed each time they present for services. Incumbent will supervise in coding diseases, injuries, surgical and non-surgical procedures using the Current Procedural Terminology (CPT-4) and ICD-9-CM/ICD-10-CM. Incumbent will supervise in maintaining continuity of workflow of the department during peak workloads during periods of absence. The incumbent supervises the BO staff. The incumbent plans work to be accomplished by subordinates and prepares schedules for completion of work; assigns work to subordinates based on priorities and capabilities of employees; evaluates work performance of subordinates; advise or counsel employees on work and administrative matters; interview candidates for positions, recommend appointment, promotion, or reassignment to such positions; hear and resolve complaints from employees; effects minor disciplinary measures, such as warnings and reprimands; identify training needs of employees; approves leave, etc.

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. For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume. BASIC REQUIREMENT(S): https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/0600/health-system-administration-series-0671/ In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS: 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: GS-11: 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: Managing a purchased referred care department who is responsible for the evaluation and reporting and performs liaison functions with contract providers, state and local agencies or Education and Training GS-11: Completion of a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or LL.M, if related You must meet all qualification requirements within 30 days of the closing date of the announcement. 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).

Education

When there is a positive education requirement, or you are using education to qualify as a substitution for experience, transcripts (unofficial) are required at the time of application to verify that you meet the educational requirement or substitution.
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

Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://www2.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Yankton Service Unit Box 490 110 N Washington St Wagner, SD 57380 US
• Name: Joseph Dudley
• Phone: 605-226-7203
• Email: [email protected]