This Supervisory Health System Specialist is located at the Phoenix Indian Medical Center in the Patient Business Services Department located in Phoenix, AZ. Serves as Supervisory Health System Specialist over the Third Party Billing, Accounts Receivable, Claims Denials/Appeals and Coding Sections. This position reports to the Chief of Patient Business Services.

Duties

Performs long and short range planning, evaluation, and analysis; and projection of future resource requirements. Develops and implements a comprehensive internal quality control system that measures the effectiveness of such controls and their impact on the program Reviews and monitors workload Develops and implements a comprehensive internal quality control system that measures the effectiveness of such controls and their impact on the program Maintains working knowledge of Medicare/Medicaid and Private Insurance benefits to ensure that the facility is in compliance with Indian Health Service and DHHS regulations

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: Supervisory Health System Specialist, GS-0671-12 Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-11 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: served as a supervisor capacity over the Third Party Billing, Accounts Receivable, Claims Denials/ Appeals, Provider Enrollment and/or Coding Sections; supervisory/managerial responsibility for planning, organizing, coordinating, and evaluating the effectiveness and directing Revenue Management functions.; assure Medicare/Medicaid and Private Insurance benefits are in compliance with current and changing requirements of the agency and DHHS regulations; performed third party billing; accounts receivable; appeal and denial; coding and medical record functions that impact billing such as: claims processing, fee schedule (charge master) table maintenance, accounts receivable activity posting, confirm eligibility of patients; performed oversight of medical record/quality assurance activities for a complex hospital/medical center to include coding and analyzing medical records and ability to understand Coding/DRG 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 within 30 days of the closing date of the announcement.

Education

There are no education requirements.

Contacts

• Address Phoenix Service Unit 1616 E Indian School Rd Suite 360 Phoenix, AZ 85016 US
• Name: Renee Cunliffe
• Phone: 928-498-7075
• Email: [email protected]