The position is located in the Third-Party Billing Section of the Business Office (BO) at the Pawnee Indian Health Center in Pawnee, Oklahoma. The primary purpose of this position is the overall responsibility for a full range of technical services in coding, abstracting and billing functions. Incumbent will report to the Business Office Supervisory Health System Specialist.

Duties

Provides a full range of technical services in coding, abstracting and billing functions. Receives and examines alternate resources claims to assure claims are complete with appropriate supporting documents which typically include utilization review certifications. Searches and abstracts all CPT coding, operative and therapeutic and all other pertinent data from the medical records in order to identify and document appropriate patient care and other information necessary for billing. Responsible for automated transmission of all third-party claims in a timely manner. Establishes day-to-day billing procedures, files and the maintenance of such files for research and general retrieval. Serves as contact person relative to any questions or technical issues with claims processing.

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. BASIC REQUIREMENT(S): Applicants must meet the following typing proficiency: 40 words per minute based on a five minute sample with three or fewer errors. In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector. Examples include submitting medical billing claims, correcting billing transactions, and providing technical assistance pertaining to coding and medical billing. 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 Pawnee Service Unit 1201 Heritage Circle Pawnee, OK 74058 US
• Name: Shelby Exum
• Phone: 9187626617
• Email: [email protected]