Lead Medical Insurance Technician (Office Automation)

Summary

About the Position: This position is located at Martin Army Community Hospital in Patient Administration Fort Benning, GA 31905-5637 This is a Direct Hire Solicitation

Duties

• •Leads, plans, directs and schedules the work of Medical Insurance Technicians (OA).
• •Makes changes in work schedules to accommodate peak workload periods.
• •Assigns work to be accomplished and instructs employee in work processes and procedures and provides technical assistance.
• •Conducts pre-admission processing of all non-active duty Uniformed Services beneficiaries scheduled for inpatient treatment or same day surgery.
• •Interviews, explains and answers questions regarding the TPC Program to patients and their insurance companies. Explains options, entitlements, billing procedures, benefits and rights.
• •Assists patients in completing insurance forms.
• •Prepares and processes insurance billing documents for inpatient hospital claims using an automated billing system.
• •Analyzes Accounts Receivable for assigned claims to determine status of claims errors or obstacles that could delay/prevent payment

Qualifications

Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Specialized Experience: One year of specialized experience which includes 1) receives and analyzes medical record data for outpatient files; 2) assists with the medical billings of insurance to third party agencies. 3) ensuring accurate billing, collecting, depositing, and reporting of earnings; 4) utilizing automated billing systems. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06). OR Education: One full year of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Accounting, or Budget Analysis. OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 18. Add the two percentages. Proficiency Required: This position requires a qualified typist. A qualified typist can type 40 words per minute based on a 5 minute sample with three or fewer errors.

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.