Indian Health Service

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Voucher Examiner @ Indian Health Service

Bloomfield, New MexicoOnsiteFull-time
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About this role

Job SummaryThe position performs accounts receivable support functions through the follow-up process of outstanding patient accounts within the Business Office. This position is located in Dzilth Na O Dith Hle Health Center, Bloomfield, New Mexico. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

QualificationsTo 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: GS05: 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: Reviewing patient account records. Performing telephone contact with third party payers. Reviewing and examining various bill types. Following up on outstanding patient accounts. Reporting any discrepancies to supervisor. Preparing reports utilizing Accounts Receivable program. OR 4 years above high school. GS06: 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: Maintaining files system of patient accounts and making financial arrangements. Examining accounts to resolve difficult reconciliations. Maintaining documents of all activity/performed on patient accounts. Receiving and reviews all Explanation of Benefits from third party payers. Attending all continuing education opportunities. 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 DutiesTHIS POSITION IS BEING READVERTISED TO SOLICIT ADDITIONAL APPLICATIONS. APPLICANTS WHO APPLIED PREVIOUSLY NEED NOT REAPPLY UNLESS SUBMITTING UPDATED AND/OR MISSING INFORMATION. Reviewing patient accounts to determine status of the account, making standard adjustments that require special analysis, prepare and process a variety of documents. Performing work consisting of examination for accuracy, adequacy of documentation or citation compliance with regulations and justification of claims. Generating and maintaining appropriate documents on such patient accounts and refers to Supervisory Health System Specialist/Business Office Manager for disposition. Maintaining documents of all activity related/performed on patient accounts in patient financial folder. Making decisions, devises solutions and takes action based on program knowledge related to patient accounts.RequirementsSelectee 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 Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You 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 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). 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.

Skills

Voucher ExaminingDepartment of Health and Human Services

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