Billing Technician (OA)

Overview

Open & closing dates
09/03/2019 to 09/16/2019
Service
Competitive
Pay scale & grade
GS 5 - 7
Salary
$33,949 to $54,670 per year
Appointment type
Permanent
Work schedule
Full-Time

Location

1 vacancy in the following location:

Towaoc, CO 1 vacancy

Relocation expenses reimbursed
No

Telework eligible
No

Duties

Summary

The position is located in the Business Office at the Ute Mountain Ute Health Center, Towaoc, Colorado. The primary purpose of this position is the overall responsibility for the billing and accounts receivable management functions. This responsibility includes the submission of properly executed claims on a timely basis to third party payers and responsible parties. The position reports to the Supervisory Health System Specialist.

Area of Consideration: Indian Health Service-Wide Learn more about this agency

Responsibilities

Receives and examines alternate resources claims to assure claims are complete with appropriate supporting documents.
Provides technical assistance with processing; reviewing, analyzing CPT coding, abstracting and compiling data, maintaining and identifying potential risk areas in medical record.
Abstracts all necessary information by auditing and assigning codes which most accurately describes each medically documented procedure.
Identifies inconsistencies or discrepancies in medical documentation; notifies and/or consults with providers.
Reviews generated reports daily to identify claims that are ready for billing.
Prepares and submits claims to third party payers, intermediaries or responsible parties.
Responsible for transmitting electronically all third party claims on a daily basis and following up on the transmission.
Responsible for error correction for all rejected/suspended claims previously submitted to third party payers.
Responsible in generating the 30-60 day aging reports to follow-up on claims that have not been paid to the facility.

Travel Required

Occasional travel - You may be expected to travel for this position.

Supervisory status
No

Promotion Potential
7

Requirements

Conditions of Employment

Selectee may be subject to a probationary/trial period.
ESEP appointees typically serve a two year trial period.
U.S. Citizenship is required.
Must pass pre-employment examination.
Selective Service Registration is required for males born after 12/31/1959.
Security Clearance: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. You will receive instructions on how to obtain and submit fingerprints and background investigation documentation. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges.
This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Upon tentative selection, selectee will be requested to complete, sign, and submit the Addendum to OF-306, Child Care & Indian Child Care Worker Position form. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
Measles and Rubella immunization required for selectees born after 1957. Seasonal influenza immunization is required for civilian health care facility staff working in Indian Health Service health care facilities.
On-call hours or standby duty may be required.
Occasional travel may be required; a valid driver license is required. You must meet the requirements of the job by 11:59 pm (Eastern Standard Time) of the closing date: 09/16/2019

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.

For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts.

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) full year of specialized experience equivalent to at least the GS-04 grade level that equipped you with the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: Performing a range of technical services in coding, abstracting, and billing functions; reviewing, verifying, gathering, and compiling information for billing; submitting claims to third party payers and responsible parties; reviewing reports to identify claims that are ready for billing; assisting in rebilled or corrected billing of accounts previously submitted; and using various computer systems to perform audits and to ensure accuracy of all codes prior to processing.
OR
Four (4) years of education above the high school level.
OR
A combination of education and experience that when combined fully meet the minimum qualifications for this position. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirements. The total percentage must equal at least 100 percent to qualify an applicant for GS-05 grade level.

GS-06: One (1) full year of specialized experience equivalent to at least the GS-05 grade level that equipped you with the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: Performing the full range of technical services in coding, abstracting, and billing functions; verifying information, identifying inconsistencies or discrepancies in medical documentation by notifying providers; preparing and submitting claims to third party payers and responsible parties; reviewing reports to follow-up on claims that may involve rebilled or corrected billing of accounts previously submitted; and using various computer systems to perform audits and to ensure accuracy of all codes prior to processing.

GS-07: One (1) full year of specialized experience equivalent to at least the GS-06 grade level that equipped you with the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: Independently performing the full range of technical services in coding, abstracting, and billing functions; verifying information, identifying inconsistencies or discrepancies in medical documentation and consulting with medical staff; preparing and submitting claims to third party payers and responsible parties; reviewing reports to follow-up on claims that may involve rebilled or corrected billing of accounts previously submitted; and using various computer systems to perform audits and to ensure accuracy of all codes prior to processing. Serve as primary contact person on claims processing involving a variety of program and coding related matters, recommending changes in methods and procedures and other processing matters to resolve recurring problems and expedite processing actions.

Proficiency Requirement: In addition to meeting experience and/or education requirements, applicants for this position must show possession of Office Automation skills and must have typing proficiency of 40 words per minute.

You must meet all qualification requirements within 30 days of the closing date of the announcement. 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).

Education

Additional information

Additional selection(s) of candidates may be possible within 90 days from the date the certificate of eligibles was issued for this announcement.

Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave is earned.

This position has promotion potential to the GS-07 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and 'Regulatory/Administrative' approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.

Government housing is not available.

Relocation expenses are not authorized and will not be paid.

~~~IHS - Operated Properties are tobacco free~~~
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How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.
You will be evaluated to determine if you meet the minimum qualifications required and on the extent to which your application shows that you possess the knowledge, skills, and abilities associated with this position. To determine if you are qualified for this position, a review of your resume and supporting documentation will be made and compared against the qualifications as defined in the qualifications section of this vacancy announcement and your responses to the assessment questions.
You will be further evaluated/rated based on the information provided in your resume (your resume must state specific duties that relate to this position) and your responses to the assessment questions to determine your competency in the following:

Attention to Detail
Customer Service
Manages and Organizes Information
Technical Competence You will receive a numeric rating based on your responses to the assessment questionnaires. If after reviewing your resume and responses to the assessment questions, a determination is made that you have overstated your qualifications and or experience, you may lose consideration.

The following links below provide information on how you may be eligible for various hiring authorities. If you are a Veteran, qualified CTAP and ICTAP eligible, or an individual with a disability, please refer to the following links below for additional guidance. CTAP and ICTAP candidates will be eligible for selection priority if it is determined that they have exceeded the minimum qualifications for the position by attaining at least a 'well qualified' rating of 85 out of 100. Information about CTAP and ICTAP eligibility is on the Office of Personnel Management's Workforce Restructuring Career Transition website at: ******************************************************************************************************* CTAP/ICTAP documentation requirements are listed in the 'Required Documents' section of this announcement.
Veterans , i.e. (VEOA, VRA, and 30% or more disabled) - **********************************************************************
Career Transition Assistance Program (CTAP) - **********************************************
Interagency Transition Assistance Program (ICTAP) - ******************************************************************************************************
Schedule A Appointments for the Disabled - ***********************************************************************

Click here to view vacancy questions: ********************************************************* All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of, 09/16/2019, to be considered.

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Background checks and security clearance

Security clearance
Other

Drug test required
No