This position is located with the Branch of the Business Office at the Gallup Indian Medical Center in Gallup, NM. The primary purpose of this position is to perform accounts receivable support functions through the follow-up process of all outstanding patient accounts within the Business Office.

Duties

Reviews patient accounts to determine the status of the account, making standard adjustments that require special analysis and prepare and process a variety of documents necessary for the maintenance and follow-up of all outstanding patient accounts. Review delinquent patient account records, following up with responsible parties via telephone and correspondence according to organization policy and procedures. Performs telephone contact with third party payers for amounts due. Examine accounts to resolve difficult reconciliation's requiring an analysis of adjustments and corrective entries in the patient account system. Trace transactions entered and prepare and/or provide supporting documents reflecting the source of discrepancies, corrective action required to bring accounts into agreement, prove the accuracy of adjusted accounts, and recommend actions to prevent recurrence of similar discrepancies. Maintains documents of all activity related/performed on patient accounts in patient financial folder. Responsible for identifying patient accounts deemed non-collectable.

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-03: Applicants must have successfully complete 1 year of education above high school -OR- Your resume must demonstrate at least six (6) months of general 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: Progressively responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled. GS-04: Applicants must have successfully complete 2 year of education above high school -OR- Your resume must demonstrate at least one (1) year of general 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: Progressively responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled. GS-05: Applicants must have successfully complete 4 year of education above high school leading to a Bachelor's Degree -OR- 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: Processing third party health plan transactions, compiling reports, coordinating collection for third party reimbursement, maintaining automated accounts receivable ledger, posting claim payments, monitoring claim payment rollover to secondary and tertiary billing, generate Aging summary reports, reviewing patients accounts. GS-06: 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: Coordinating collection for third party reimbursement, maintaining automate accounts receivable ledger, posting claim payments, monitoring claim payment rollover to secondary and tertiary billing, generate Aging summary reports, reviewing patient accounts, resolving difficult reconciliations. Combining Education and Experience: Equivalent combinations of successfully completed post-high school education and experience may be used to meet total experience requirements at grades GS-5 and below. For GS-5 level positions, only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable toward meeting the specialized experience requirement. One full academic year of study (30 semester hours) beyond the second year is equivalent to 6 months of specialized experience. 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 Gallup Service Unit 516 E Nizhoni Blvd P O Box 1337 Gallup, NM 87301 US
• Name: Navajo Area IHS Human Resources
• Email: [email protected]