This Billing Technician position is located in the Business Offices, Administrative Office of the Whiteriver Indian Hospital, in Whiteriver, Arizona. This position is responsibility for a full range of technical services in coding, abstracting and billing functions that includes the submission of properly executed claims and re-billing or corrected billing of accounts previously submitted. This position reports to the Supervisory Health System Specialist,

Duties

Receives and examines alternate resources claims to assure claims are complete with appropriate supporting documents. Verifies accuracy of health claims number that claimed amounts are authorized, and that items of services billed are allowed by appropriate regulations, decisions, directives and other controlling guides. Provides technical assistance with processing and maintaining CPT coding, abstraction of the complete chart (outpatient) and compliance enforcement of all regulatory requirements. Conducts a thorough review of all abstraction and search of records, guidelines in order to select the most accurate and descriptive codes in accordance with CPT/HCPCS coding system. Searches and abstracts all CPT coding, operative and therapeutic and all other pertinent data from the medical records in order to identify and document appropriate patient care and other information necessary for billing. Identifies inconsistencies or discrepancies in medical documentation by notifying the appropriate providers and/or all other departments within the facility for complete charge capture and abstraction.

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-0503-07:Your resume must demonstrate at least (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience includes submitting claims to third party payers and responsible parties, re-billing or correcting billing of accounts previously submitted. This experience also includes such things as verifying information, reviewing reports to identify claims and using the various types of computer systems. 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 by the closing date of the announcement.

Contacts

• Address White River Service Unit PO Box 860 White River, AZ 85941 US
• Name: Chelsea Banteah
• Phone: 6023645219
• Email: [email protected]