Summary ORGANIZATION LOCATION: Phoenix Indian Medical Center, Patient Business Servicers. Position is located in Phoenix, AZ, and supervised through the Supervisory Health System Specialist. The position is responsible for assignment and balance of daily work load among staff to ensure coverage. In addition, generating third party alternate resources claims and tracking insurance claims and payments. This job will close when we have received 25 applications which may be sooner than the closing date. Responsibilities Performs leader responsibilities such as, distributes workload to employees, monitors daily operations and priorities, prepares production reports to evaluate quantity and quality workload, educates employees on established procedures and practices, reports to supervisor on performance, progress and training needs of employee. Performs billing responsibilities such as, receives and examines alternate resources claims to assure claims are complete, identifies errors, omissions, duplications in claim documents, conducts review of all abstraction and search of records in accordance with CPT/HCPCS coding system, perform billing, collections, follow-up, adjustment, and accounting methods, to conduct difficult analysis and determinations to validate transactions and to perform research to resolve inconsistencies. Knowledge of extensive body of alternate reimbursement policies, regulations, instructions and the interrelationships of the procedures and regulations on eligibility, allowances, and documentation pertinent to the full range of alternate resource reimbursements. Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Medical Support Assistant Total Compensation | Pay (ihs.gov) 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 Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. 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. IHS Selectees that will work in an IHS health care facility may be subject to Employee Health Policies related to Measles and Rubella, COVID-19, and seasonal influenza immunizations. Vaccine exemption requests may be available according to the National and/or Service Unit guidance. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. Work Schedule: Monday thru Friday, 40 hours per week. You will need to set up direct deposit so we can pay you. Background Investigation: 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. 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. You may be subject to a credit check as a part of the background investigation process. 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-09: 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: Serves as the lead providing guidance, workload coordination, and quality oversight to ensure efficient billing office operations. Track productivity metrics and prepares workload and quality reports for management. Assist with generation of third party alternate resource claims, tracking insurance claims, generating and evaluating billing reports, and ability to research and reference billing policies. 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. Additional Information Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. This position is covered by a Bargaining Unit. Recruitment or Relocation Incentives may be authorized and is subject to availability and service unit approval. If offered, you will be required to sign a service agreement. The service period may not be less than 6 months and may not exceed 4 years. Failure to fulfill the service agreement will result in repayment of the incentive. This position has no promotion potential.
