Billing Technician

Summary

Join the Indian Health Services as a Billing Technician with the Red Lake Service Unit in Red Lake, MN. Review medical records and billing documentation, process third-party medical claims, verify patient eligibility and insurance coverage, and support billing and accounts receivable activities. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Duties

Reviews medical records, patient documentation, insurance information, and demographic data to prepare and process third-party billing claims. Submits, corrects, and follows up on third-party medical claims to ensure accurate and timely processing. Verify patient eligibility, insurance coverage, authorizations, and required documentation while maintaining accurate billing records and reports using automated systems. Communicates with patients, providers, insurance carriers, and internal departments to resolve billing issues and payment discrepancies. Maintains billing documentation, prepares reports, and performs administrative support activities related to third-party billing, accounts receivable, and patient registration or eligibility services.

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 -06 Specialized Experience Statement: 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: Preparing or processing medical billing claims; reviewing medical records and documentation for billing accuracy; verifying patient demographic, insurance, or eligibility information; maintaining billing records and accounts receivable documentation; researching billing discrepancies, denials, or appeals; utilizing automated billing or electronic health record systems; communicating with patients, providers, and insurance carriers or healthcare staff regarding billing matters. GS -07 Specialized Experience Statement: 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: Independently preparing and reviewing medical claims submitted to third-party payers; reviewing medical records and documentation to ensure billing accuracy and compliance; verifying patient eligibility, insurance coverage, and required documentation; monitoring accounts receivable and resolving claim or payment discrepancies; maintaining billing records using automated systems; coordinate with providers, insurance carriers, and internal staff to resolve billing issues' preparing reports and maintaining documentation in accordance with established policies and procedures. In describing your experience, please be clear and specific. We do not make assumptions regarding your experience. Your resume must support your application responses. 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.