Billing Technician

Summary

The position is located in the Business Office of the Northern Cheyenne Service Unit. The primary purpose of this position is to abstract and interpret data from records in preparation and submission of third party claims. The incumbent reports to the Business Office Manager. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Duties

This position is being re-advertised to solicit additional applicants. Applicants who applied previously need not reapply unless submitting updated and/or missing information. Analyze, maintains, and directs the billing operation for third party programs. Responds to third party requirements on post-payment reviews, exclusions, denials, and appeals. Performs audits and medical reviews on all health insurance claims. Provides referrals for third party eligible patients. Responds to administrative inquiries and departmental needs. Provides orientation and training for departmental staff and other health care facilities.

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: 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-5: 1 year of specialized experience: Examining alternate resource claims, verifying health claim numbers, reviewing reports, submitting claims to third party, and submitting daily billing productivity report.; OR 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 requirement. The total percentage must equal at least 100 percent to qualify an applicant for GS-05 grade level. GS-6: 1 year of specialized experience: Documenting activities on patient accounts, providing technical assistance, maintaining unbilled claims, correcting errors, updating systems, identifying errors and duplicates. 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

If you are substituting education for experience; You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.