The primary purpose of this position is the overall responsibility for a major segment of the accounts receivable management function, and billing of all third-party payers in a timely and accurate manner. This position is located at the Crow Service Unit, Crow Agency, Mt, Business Office Branch. The incumbent will provide registration and eligibility services which are the key point of interaction with patients to obtain and process demographic and insurance information for alternate resources.

Duties

Claims Processing - responsible for billing the appropriate agency for services provided utilizing the automated third party billing procedures. Reviews clinical management of patient condition to ensure proper levels of care are noted. Accounts Receivable-maintains A/R system pertaining to posting activities, account aging status and follow-up activities. Denials - follows up on claim denials, ensures investigation activities are documented.

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: 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: 1 year of specialized experience: billing the applicable agency for services provided to a patient; responding to third party requirements on post-payment reviews, exclusions, denials, and appeals; provides orientation and training to appropriate personnel; verifying that medical records contain proper documentation in accordance with regulations; monitoring inpatient daily census on a concurrent basis. GS-7: 1 year of specialized experience: submitting claims to third party payers and/or responsible parties, rebill or correct billing of accounts previously submitted; verify information, review reports to identify claims and use the various types of computer systems; performs audits and ensures accuracy of all codes prior to processing. 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

This position has an education requirement. 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 https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Crow Service Unit PO Box 9 10110 South 7650 East Crow Agency, MT 59022 US
• Name: Tamra O'Neill
• Phone: (406)850-4903
• Email: tamra.o'[email protected]