This position is located in the Billing section of the Business Office at the Lawton Indian Hospital and is supervised by the Revenue Cycle Director. The primary purpose of the position is to abstract and interpret data from records in preparation and submission of properly executed outpatient and inpatient third party claims on a timely basis and re-bill or correct billing of accounts previously submitted.

Duties

Accurately and timely prepare and submit outpatient and inpatient claims to third party payers, intermediaries, and responsible parties. Responds to third party requirements on post-payment reviews, exclusions, denials, and appeals. Responds to ad hoc request by advising and defining requirements necessary to provide the information needed. Follows up on Medicare and Medicaid denials. Performs qualitative and quantitative analysis by reviewing the medical record to ensure it contains proper documentation in accordance with regulations. Searches and reviews individual patient health record(s) to gather and compile information.

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. BASIC REQUIREMENT(S): Applicants must meet the following typing proficiency: 40 words per minute based on a five minute sample with three or fewer errors. 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-6: Abstracting and interpreting data from records in preparation and submission of properly executed outpatient and inpatient third party claims on a timely basis to third party payers and responsible parties and rebilling or corrected billing of accounts previously submitted. GS-7: Submit medical billing claims, correct billing transactions, follow up on Medicare and Medicaid denials and providing technical assistance pertaining to coding and medical billing. 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.

Contacts

• Address Lawton Service Unit 1515 North Lawrie Tatum Rd Lawton, OK 73507 US
• Name: Timothy Ulloa
• Phone: 5803545524
• Email: [email protected]