About the Position: This position is located at Naval Medical Center, Defense Health Agency, Defense Health Network Pacific Rim, San Diego, CA Directorate of RM Third Party Collections

Duties

Assist with under-paid or unpaid claims. Identifying sources of reimbursable earnings and ensuring accurate billing, collecting, depositing and reporting. Reviews Explanation of Benefits (EOB) for appropriateness to the claim submitted. Enters and extracts accounts data for reports needed by supervisor or management officials of Naval Medical Center and higher echelon activities. Complete a wide variety of accounting transactions, monitor and reconcile accounts in various financial systems. Maintains accountability of claims being processed to ensure bills are processed within established timeframes to facilitate reimbursement.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment.
• This position has been designated "Mission Essential". In the event of severe weather conditions or other such emergency type situations the incumbent may be required to report to work or remain at work as scheduled to support mission operations.
• Appointment to this position is subject to a one year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315.
• This position has a mandatory seasonal influenza vaccination requirement and is subject to annual vaccination.
• This is A FINANCIAL MANAGEMENT Level 1 Certified position. Failure to obtain this certification within the required time may subject the incumbent to adverse action.

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 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: One year of specialized experience which includes: (1) preparing and submitting claims to third party payers and/or responsible parties; and (2) utilizing automation systems to reconcile financial/accounting data; and (3) rebilling or correcting billing of accounts previously submitted. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06). You will be evaluated on the basis of your level of competency in the following areas: Decision SupportFinancial Management SystemsFundamentals & Operations of Finance 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-06).

Education

Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Contacts

• Address JT-DHA-DD83DZ DHA SAN DIEGO MARKET DO NOT USE San Diego, CA 92134 US
• Name: Army Applicant Help Desk