Billing Technician
Mescalero, NM - USA
Job Summary
This position is located in the Business Office at the Mescalero Service Unit in Mescalero NM or the Albuquerque Service Unit in Albuquerque NM. The incumbent performs coding abstracting and billing functions ensuring timely and accurate claim submission. Enjoy New Mexicos stunning landscapes rich cultural heritage and the opportunity to make a meaningful impact in Native American healthcare.
A REAL ID will be required beginning May 7 2025 in accordance with 6 C.F.R. 37.5 (2021).
- Receives and examines alternate resources claims to assure claims are complete with appropriate supporting documents.
- Verifies accuracy of health claim numbers claimed amounts are authorized and identifies errors omissions duplications in documents and contacts the appropriate individuals to resolve problems.
- Uses official coding conventions techniques and rules established by the American Medical Association American Dental Association and the Center for Medical Services assigning codes.
- Reviews reports to identify claims ready for billing prepares to submit claims to third party payers.
- Establishes patient accounts and documents all activity performed on patient accounts.
Selectee may be subject to a probationary 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.
Confidential Financial Disclosure Form required.
Successfully pass the E-Verify employment verification check. To learn more about E-Verify including your rights and responsibilities visit will need to set up direct deposit so we can pay you.
Background Investigation Requirement:
This position requires the successful completion of a federal background investigation as a condition of employment.
A background investigation is a standard process used by the Federal Government to verify an individuals identity employment history education and other relevant information to determine suitability for Federal service.
Upon receipt of instructions applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.
Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.
Financial Suitability Requirement:
This position requires a review of the applicants financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility maintain good standing with creditors and satisfy all legal financial obligations prior to applying.
Individuals with substantial delinquent or unresolved financial obligations-including but not limited to delinquent federal or state tax liabilities defaulted federal student loans court-ordered fines or fees or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS).
Prior to the appointment candidates must present two valid forms of identification. If one of the documents is a state-issued ID or drivers license it must be REAL ID-compliant.
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-07:
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: Experience in performing a full range of technical services in coding abstracting and billing functions independently. Knowledge in third party claims submission process knowledge in coding procedures including experience in RPMS systems.
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.
There are no education requirements.
Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e. physical or mental) covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position after notification of the adjudication of your request you will receive an email invitation to complete the USA Hire Competency Based Assessments based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. ( Employees earn annual leave at a rate (4 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.
This position is ineligible for the Bargaining Unit.
Recruitment or relocation incentives may be authorized. At least a 6 month service agreement will be required.
This position has no promotion potential.
You will be evaluated for this position in accordance with the OPM Merit Hiring Plan.
As part of the application process you will be asked to provide short essay responses (200 words or less each) to the following four questions.
Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.
Required Experience:
IC