This position is located in the Business Office at the Blackfeet Service Unit, Browning MT. The purpose of this position is to perform as a Billing Technician for the organizational third party patient billing. Manage and coordinate the operations of the reimbursement program with Medicaid, CHIPs, Private insurance and others that are in compliance with the HIPAA and current requirements of the agency.
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-6: 1 year of specialized experience: billing the applicable agency for services provided to a patient; responding to third party requirements on post-payment reviews, exclusions, denials, and appeals; provides orientation and training to appropriate personnel; verifying that medical records contain proper documentation in accordance with regulations; monitoring inpatient daily census on a concurrent basis. GS-7: 1 year of specialized experience: submitting claims to third party payers and/or responsible parties, rebill or correct billing of accounts previously submitted; verify information, review reports to identify claims and use the various types of computer systems; performs audits and ensures accuracy of all codes prior to processing. 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.
Responsible for the accurate and timely preparation and submission of claims to third party payers, intermediaries, and responsible parties according to established hospital policy and procedures. Responsibilities include maintenance and control of unbilled claims, including assigned section of patients' receivables. Assists in the balance of the workload among all billers in accordance with established work flow or job specialization, assures timely accomplishment of the assigned workload, and assures that they have enough work to keep busy. Keeps in tough with the status and progress of work and makes day-to-day adjustments in accordance with established priorities, obtaining assistance from the supervisor on problems that may arise, such as backlogs, which cannot be disposed of promptly. Estimates and reports on expected time of completion of work and maintains records of work accomplishments and time expended and prepares production reports as requested.