Indian Health Service Hiring for Medical Support Assistant (OA) (Patient Business Services) at Phoenix Full Time

Summary Serve as a Medical Support Assistant (Billing) for the Phoenix Indian Medical Center (PIMC) Division of Financial Services located in Phoenix, AZ. This position is located in the Third Party Billing section of the Patient Business Services department. The incumbent will report to the Billing Supervisor. The Medical Support Assistant is responsible for claims upon receiving, until claim has been paid by Third Party Payor. Responsibilities Receives and examines alternate resources claims to assure claims are complete with appropriate supporting documents which typically include utilization review certifications. 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. Batches bills and prepares amount of all bills and listings of patient’s names for submission to insurance companies. Serves as contact person relative to any questions or problems with claims processing and coding problems. Provides technical assistance with processing and maintaining coding, abstraction of the complete chart (outpatient) and compliance enforcement of all regulatory requirements. Requirements Conditions of Employment Must pass pre-employment examination. Selectee may be subject to a probationary/trial 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. 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. COVID-19 vaccination is required for all selectees prior to entrance on duty. 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/.Selectee may be required to travel and must acquire a valid driver license. A bank account at a financial institution is required for electronic direct deposit of salary payment. 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. 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. Resume: You are highly encouraged to use USAJOBS Resume Builder to ensure all required information is included in your Resume. If you use your own resume, curriculum vitae, or any other written form you choose then you must describe your job-related qualifications that includes beginning and ending dates for paid and non-paid work experience, hours worked per week, month and year of employment for each job title listed, annual salary, and description of job duties. Include name and address of employer; supervisor name and telephone number. MINIMUM QUALIFICATIONS: GS-0962-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: knowledge of the Resource Patient Management System (RPMS), ICD Coding, Medical Billing, Collections, Alternate Resources, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS). MINIMUM QUALIFICATIONS: GS-0962-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least 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: Examples include: 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. TYPING PROFICIENCY REQUIREMENT: In addition to meeting experience or education requirements, applicants must provide evidence of their typing proficiency of 40 words per minute typing speed based on a 5-minute sample from a school or other organization authorized to issue such certificates. Certificates must not be over three (3) years old. This agency accepts self-certifications. 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 closing date of the announcement. Education There are no education requirements. Additional Information Per IHS policy (SGM 21-04) and E.O. 14043, IHS selectees must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask is required. Regular testing for COVID-19 will be required for staff located in federally operated hospitals, health centers, and clinics. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions for submitting a request for a legally required exception, if needed. Additional 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 promotion potential to the GS-08 grade level. Promotion to the next grade level is at management’s discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and “Regulatory/Administrative” approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.