Job opening: Claims Assistant (Office Automation)
Salary: $40 132 - 64 628 per year
Published at: Jan 29 2024
Employment Type: Full-time
Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications.
About the Position: Serves as the Staff Judge Advocate's liaison and technical support with McDonald Army Health Center (MCAHC).
This is a TERM position not to exceed 3 years and may be converted to a permanent appointment.
Duties
Serves as the Staff Judge Advocate's liaison and technical support with McDonald Army Health Center (MCAHC).
Identifies potential third party recovery actions by screening medical records, ambulance run sheets, patient questionnaires, military and civilian police records, and other sources.
Obtains medical records and billings from civilian health care providers and/or medical facilities, and TRICARE to determine the amount the government is entitled to recover.
Assists the Paralegal Specialist in the maintenance of information relating to medical malpractice claims to include the acquisition of medical records and reports.
Requirements
- Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
- Qualified Typist is required.
- This position has a mandatory seasonal influenza vaccination requirement and is therefore subject to annual seasonal influenza vaccinations.
- This position has a mandatory immunization screening.
- This position has a mandatory requirement to be able to drive and operate an administrative use vehicle, and to maintain a valid state vehicle operator’s license.
Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the education and/or experience requirements described below. 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). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
GS-06 Level: Specialized Experience: One year of specialized experience which includes review medical records and/or maintain records of recovering monetary transactions and/or research records related to claims; and use of automated equipment. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).
OR
Education: A half year (i.e., 9 semester hours) of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Medical Billing or Health Administration.
OR
Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 9. Add the two percentages.
GS-07 Level: Specialized Experience: One year of specialized experience which includes 1) providing program support in resolving cases that contain payment of medical claims; 2) Experience with medical expense billing practices to obtain information for disputes; 3) Draft legal documents for medical claims; 4) Research medical claims using claims collection guidance and other confidentiality rules. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).
OR
Education: One full year of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Business Administration, Financial Analysis, Finance, or Health Information Management.
OR
Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 18. Add the two percentages.
A Qualified Typist is required. This position requires a typing proficiency of at least 40 words per minute (WPM) based on a 5 minute sample with 3 or fewer errors.
You will be evaluated on the basis of your level of competency in the following areas:Customer ServiceCustomer Service (Clerical/Technical)Decision MakingFlexibilityIntegrity/HonestyInterpersonal SkillsManages and Organizes InformationReadingReading ComprehensionReasoningSelf-ManagementTeamworkWriting
Education
FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show 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://sites.ed.gov/international/recognition-of-foreign-qualifications/
Contacts
- Address ER-APF-W6CNAA US ARMY GARRISON FT EUSTIS
DO NOT MAIL
Fort Eustis, VA 23604
US
- Name: Army Applicant Help Desk
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