Lead Billing Technician

• Analyze maintain and direct the billing operation for third party program.
• Distribute monitor and report on the status and progress of work checking on work in progress and reviewing completed work to see that the supervisors instruction on work priorities methods deadlines and quality have been met.
• Provide data to the Business Office Manager for inclusion in reports and use in performance appraisals.
• Receive and examine alternate resources claims to assure claims are complete with appropriate supporting documents; verify accuracy of health claim numbers; identify errors omissions duplications in documents and contact the appropriate individuals to resolve problem.
• Provide technical assistance with processing and maintaining CPT coding abstraction of the complete chart and compliance enforcement of all regulatory requirements; review analyze CPT coding abstract and compile data maintain and identify potential risk areas in outpatient medical record.

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.

IHS Selectees whose duties and responsibilities require them to work permanently temporarily or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases consistent with recommendations for healthcare workers. Vaccine exemption requests may be available as outlined in the IHS Employee Immunization Policy and facility guidance.

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 deposit is required.

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.

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.

A REAL ID will be required beginning May 7 2025 in accordance with 6 C.F.R. 37.5 (2021).

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-0503-7:

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 leading and assigning work to billing staff; performing medical and dental billing insurance verification claims processing coding and documentation review payer follow-up collections and accounts receivable duties. Experience using RPMS EHR payer portals and other billing systems; resolving billing and documentation issues; conducting billing audits; maintaining accurate records; protecting confidential patient information; and providing training technical guidance and workflow support to billing staff.

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 by the respective cutoff day of rating to be eligible for consideration.

The first cutoff date will be October 23 2026 at 11:59 pm EST. Future cutoff dates will be each Friday thereafter at 11:59 pm EST until the closing date. Your application will remain active for 90 days from the submission of application.