About this role
Job Summary
This position is located within the Blackfeet Service Unit, Business Office, Browning, MT. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.
Qualifications
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-05: One (1) year of specialized experience equivalent to at least GS-04 grade level; or four (4) years above high school. GS-06: One (1) year of specialized experience equivalent to at least the GS-05 grade level. GS-07: One (1) year of specialized experience equivalent to at least the GS-06 grade level.
EXAMPLE OF SPECIALIZED EXPERIENCE FOR THE GS-05: Responsible office work to include processing of business transactions, such as the inputting, reviewing, organizing and analyzing of data as accomplished through the use of automated database and/or electronic business systems. EXAMPLE OF SPECIALIZED EXPERIENCE FOR THE GS-06: Progressively responsible office work to include processing of business transactions, such as the inputting, reviewing, organizing and analyzing of data as accomplished through the use of automated database and/or electronic business systems; preparing and reviewing documents to verify data and to identify necessary entries into automated database and/or electronic business systems; maintaining manual filing systems; and working to resolve unpaid balances.
EXAMPLE OF SPECIALIZED EXPERIENCE FOR THE GS-07: Processing third party health plan transactions, generating and analyzing aged summary reports, maintaining patient accounts in automated systems to include posting claim payments and adjustments, monitoring claim payment rollover to secondary and tertiary billing, monitor account balances, review posting to ensure accuracy, and recommend appropriate correction action, performing account reconciliation, maintaining manual filing system of records related to collections, denials, and other pertinent revenue cycle documents, coordinating collection of open patient accounts and working closely with internal stakeholders and external agencies and third party payers to resolve unpaid balances for medical services rendered, compiling reports for third party billing activities and accounts.
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.
Major Duties
- Works to complete general transactions and compiling reports for third party billing activities and accounts.
- Works with large integrated data systems that include medical, fiscal and management data in numerous related computer files.
- Identifies audits, posts and collects from third party health plan carriers for outpatient clients to recover maximum dollars.
- Assists in developing statistical reports and control methods in determining receivable and collections.
- Responsible for accurate processing of secondary and tertiary billing after posting payment of initial claims.
- Maintains documents of all activity related/performed on patient accounts in patient financial folder.
- Documentation will include dates, telephone numbers, name or person contacted with the status of payment.
Requirements
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. 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 individual's 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 applicant's 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).