Billing Technician
Indian Health Service
This position is located in the Pharmacy Branch of the Gallup Indian Medical Center in Gallup, New Mexico. The main purpose of this position is to review information from records and use it to prepare and submit accurate point-of-sale billing claims. The job requires good analytical skills, sound judgment, discretion, and knowledge of administrative and program policies, procedures, and goals. 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-06: 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. Examples include: completing insurance audits, prior authorizations, work in a medical business office setting with responsibility for performing submission to third party payers, intermediaries, and patients, documenting all activity performed, submission of daily productivity reports to the supervisor. GS-07: 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. Examples include: completing insurance audits, prior authorizations, submitting claims to third party payers and responsible parties, rebilling or correcting billing of accounts previously submitted. This experience also includes such things as verifying information, reviewing reports to identify claims and using the various types of computer systems. 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. #J-18808-Ljbffr
- ...utilization review certifications. Verifies accuracy of health claims number that claimed amounts are authorized and items of services billed are allowed by appropriate regulations, decisions, directives and other controlling guides. Provides technical assistance with...Suggested
- ...Pharmacy Billing Specialist This position is located in the Pharmacy Branch of the Gallup Indian Medical Center in Gallup, New Mexico. The main purpose of this position is to review information from records and use it to prepare and submit accurate point-of-sale billing...Suggested
$15.75 - $23.67 per hour
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