Job title: Medical Support Assistant (Biller)
Company: Federal government of the United States
Job description: SummaryThe Medical Support Assistant (Biller) is located in Nevada Skies Youth Wellness in Wadsworth, NV and will report to the Deputy Chief Executive Officer. The incumbent is responsible for generating third party alternate resources claims and tracking insurance claims and payments. The incumbent is responsible for the examination, verification and maintenance of data involved in processing alternate resources and performing other related support duties in the Third Party Reimbursement Program.Overview
- Accepting applications
Open & closing dates11/06/2024 to 11/18/2024Salary$54,292 – $70,578 per yearPay scale & gradeGS 8Location1 vacancy in the following location:Remote jobNoTelework eligibleNoTravel RequiredOccasional travel – You may be expected to travel for this position.Relocation expenses reimbursedNoAppointment typePermanentWork scheduleFull-timeServiceCompetitivePromotion potentialNoneJob family (Series)Supervisory statusNoSecurity clearanceDrug testNoPosition sensitivity and riskTrust determination processFinancial disclosureYesBargaining unit statusAnnouncement numberIHS-25-PX-12580519-DEControl number814494200This job is open toClarification from the agencyThe IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior’s definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3. The IHS is an Equal Opportunity Employer.VideosDuties
- Verifies accuracy of health claim number that claimed amounts are authorized and that items of services billed are allowed by appropriate regulations, decisions, directives and other controlling guides.
- Determines that receipts are properly processed and that the total agrees with the predetermined control totals.
- Reviews reports and listings to assure that they are in balance, proper format, sequenced and that accounting data is valid.
- Researches Medical Records to correct monthly error reports generated by Data Processing as well as manages and corrects billing errors and resubmits claims timely to multiple state Medicaid plans via the prescribed methodology.
- The position requires skill in independent analysis and problem solving to develop appropriate information and evidence in a timely manner using documentation to reach clear conclusions for proper reimbursement.
RequirementsConditions of EmploymentMust pass pre-employment examination.
Selectee may be subject to a probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959This 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.Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities.Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit .Work Schedule: Monday thru Friday, 40 hours per week.You will need to set up direct deposit so we can pay you.Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process.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 – GS-0679-08:
- Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least to the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performing independent analysis and problem solving to develop appropriate information and evidence timely to generating third party alternate resources claims; tracking insurance claims and payments in all levels of examination; and maintenance of data in processing alternate resources reimbursement.
You must meet all qualification requirements within 30 days of the closing date of the announcement.EducationThere are no education requirements.Additional informationAdditional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement.Federal 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 covered by a Bargaining Unit.This position has no promotion potential.
- Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. .
Expected salary: $54292 – 70578 per year
Location: Wadsworth, NV
Job date: Fri, 08 Nov 2024 03:08:21 GMT
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