About the Position: Candidate is expected to work 8 hours, Monday through Friday, (excluding observed federal holidays). Work hours can be performed anytime between 6:30am and no later than 5:00pm. Candidate must hold position for a duration of 12 consecutive months before becoming eligible for alternate work schedules such as RDO. Overtime will be approved on a case-by-case basis and it is under the discretion of the supervisor.

Duties

Provide support for five medical specialties and three outlying clinics. Maintain contact with health insurance companies. Establish contact with patient administration and medical companies. Generate monthly billing through the Third Party Collection Program. Answer general inquiries about eligibility and applicable charges to customers. Utilize on-line databases to maintain patient records. Assures patients have approved health care plan at the time services were rendered. Review, approve, and certifies bills for third party claims. Coordinates, validates, and certifies for the medical services account. Develop and implements policies and procedures to maintain records, properly bill and process bills from third party payers.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Financial Management Certification: This is a DOD Financial Management position. The incumbent must complete training and meet position requirements for certification at Level 2 within 2 years of appointment.
• Financial Management Certification: Failure to obtain and maintain this certification within the required time may subject the incumbent to adverse action.
• Tier 1: This position is subject to a background investigation to determine your suitability for Federal employment.

Qualifications

Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected. 30 Percent or More Disabled VeteransCurrent Civilian Employees of the Defense Health Agency (DHA)Current Permanent Department of Defense (DoD) Civilian EmployeeDomestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel WorkforceInteragency Career Transition Assistance PlanLand Management Workforce Flexibility ActMilitary Spouses, under Executive Order (E.O.) 13473Non-Department of Defense (DoD) TransferPriority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician EligiblePriority Placement Program, DoD Military Spouse Preference (MSP) EligiblePriority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability RetirementPriority Placement Program, DoD Retained Grade Preference EligibleVeterans Employment Opportunity Act (VEOA) of 1998 In order to qualify, you must meet the Education and/or Experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Specialized Experience: GS 7: One year of specialized experience equivalent to the GS-05 grade level in the Federal service which includes experience with medical billing/collections, insurance, and authorizations; experience with Third Party Collection Programs; experience using an automated system to create reports, correspondence, and identify accounts receivable GS 9: One year of specialized experience equivalent to at least the GS-07 grade level in the Federal service which include: Adhering to policies and regulations that concern medical billing/collection; knowledge of medical facility accounts receivables and regulations; utilizing billing systems, treasury systems; and managing electronic medical health record systems. OR Education: GS 7: Successful completion of one full academic year of graduate-level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as, Finance, Accounting, Management, or Business Administration. (Note: You must attach a copy of your transcripts.) OR GS 7 Superior Academic Achievement. In order to be creditable under this provision, Superior Academic Achievement must have been gained in a curriculum that is qualifying for the position to be filled. Superior Academic Achievement is based on: (1) Class Standing - You must be in the upper third of the graduating class in the college, university, or major subdivision, such as the College of Liberal Arts or the School of Business Administration, based on completed courses; OR (2) Grade-Point Average (G.P.A.) - You must have a grade-point average of either (a) 3.0 or higher out of a possible 4.0 ("B" or better) as recorded on your official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or (b) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum.; OR (3) Honor Society Membership - You may be considered eligible based on membership in one of the approved national scholastic honor societies listed by the Association of College Honor Societies (https://www.achsnatl.org/). (NOTE: You must attach a copy of your transcripts and/or verification of class standing for further verification.) GS 9: Successful completion of a master's or equivalent graduate degree or 2 full years of progressively higher-level graduate education leading to such a degree in a field which demonstrates the knowledge, skills, and abilities necessary to perform the work of the position, such as Finance, Accounting, Financial Management (Note: You must attach a copy of your transcripts.) OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide your semester hours of by 60. Add the two percentages. You will be evaluated on the basis of your level of competency in the following areas: Customer Service (Clerical/Technical)Financial Management SystemsFundamentals & Operations of Finance GS 7 Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-05). GS 9 Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-07).

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications.

Contacts

• Address JT-DHA-DD83CU DHA STAND-ALONE MKT-KENNER AHC DO NOT USE Fort Gregg-Adams, VA 23801 US
• Name: Army Applicant Help Desk