Billing Technician

• 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.

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.

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 -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.