This position is located in Kayenta Service Unit, Division of Administration and Management Business Office Branch. The primary purpose of this position is the overall responsibility for a major segment of the accounts and receivable management function. This responsibility includes the submission of properly executed claims on a timely basis to third party payers and responsible parties and rebilling corrected billing of accounts previously submitted.

Duties

Responsible for the accurate and timely preparation and submission of claims to third party payers, intermediaries, and responsible parties Responsible for maintenance and control of unbilled claims for an assigned section of patient receivables. Responsible for verification that all control functions assigned are maintained daily as set forth in hospital policy and procedures. Responsible for the error correction for all rejected/suspended claims previously submitted to third party payers and intermediaries and patients. Documents of all activity performed on patient accounts in the patient financial folder Provides supervisor with an accurate accounting of all claims in the assigned section of patient receivable.

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-05: One (1) year of specialized experience at the GS-4 level and/or 4 years above high school; or a combination of both specialized experience and education. Specialized Experience: candidates must demonstrate ability to bill for a health care center where incumbent is expected to collect and enter claim information, post insurance and patients and manage accounts, submit claims and following up with insurance carriers on unpaid or rejected claims, answer patient inquires on account status and charges. Examples of work that demonstrates this ability include: compile account statements, compute balances and record billing payments for any company. Responsible for preparing invoices for services rendered or for the delivery of goods. Calculate interest, penalties and late fees for clients who are past due on their accounts. Work daily with both paper forms and specialized computer programs when inputting and analyzing account information. GS-06: One (1) year of specialized experience at the GS-05 level. Specialized Experience: candidates must be knowledgeable on insurance and reimbursement process to collect and enter claim information, post insurance and patients and manage accounts, submit claims and following up with insurance carriers on unpaid or rejected claims, answer patient inquires on account status and charges. Examples of work that demonstrates this knowledge include: analyzing billing operations for third party (health care) programs; acting as an advocate in the collection of alternate resources (insurance, Medicaid etc.); assuring collections, billed data and computerized and manual reports are in balance; and ensuring accountability of health insurance claims submitted for payment. 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

For positions requiring positive education requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume.

When there is a positive education requirement, or you are using education to qualify as a substitution for experience, transcripts (unofficial) are required at the time of application to verify that you meet the educational requirement or substitution.

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.

Contacts

• Address Kayenta Service Unit PO Box 368 Kayenta, AZ 86033 US
• Name: Claircita Richards
• Phone: 928-697-4000
• Email: [email protected]