ORGANIZATIONAL LOCATION: Department of Health & Health Human Services (HHS), Indian Health Service (IHS), Southwest Region, Phoenix Area-Operations Division/Patient Business Office, Parker Indian Health Center. Position is located in Parker Arizona. Position is supervised by the Supervisory Health System Specialist. Primary position is to perform accounts receivable support functions for the patient account system, through the billing, denial of claims to accounts receivable.

Duties

Major Duties: Receives and examines alternate resource claims for quality and completeness, assuring claims have appropriate supporting documents. Coordinate collections for the third party reimbursement program Develop statistical reports and control methods in determining receivables and collections. Identifies, audits, posts, and collects from third party health plan carriers to recover maximum dollars. Responsible to review for accurate processing all of billing for all denials and payments of intial claims.

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-6: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least theGS-5 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Review billing insurance claims, post payments received from patients and third party payers, and following up on unpaid accounts. GS-7: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-6 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Generate a variety of third party and accounts receivable reports, generate aged reports, review delinquent patient account records, prepare claims for reimbursement of health services, complete work assignment with less than normal supervision. GS-8: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-7 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performing independent analysis and problem solving to develop appropriate information and evidence timely to generating third party alternate resources claims; tracking insurance claims and payments in all levels of examination; and maintenance of data in processing alternate resources reimbursement. 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 Colorado River Service Unit 12033 Agency Road Parker, AZ 85344 US
• Name: Phoenix Area IHS Human Resources
• Email: [email protected]