Medical Insurance Technician (Office Automation)

Full Job Description

About the Position: This position is located at Martin Army Community Hospital at Fort Benning, GA.

This is a Direct Hire Solicitation, utilizing the DHA for Certain Personnel of the DoD to recruit and appoint qualified candidates to positions in the competitive service.

Salary negotiation may be available for those candidates who are new to Federal service. Student Loan repayment may be authorized.

Who May Apply: US Citizens In order to qualify, you must meet the experience requirements described below.

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; student; social).

You will receive credit for all qualifying experience, including volunteer experience.

Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application.

Additional information about transcripts is in this document.

Specialized Experience: One year of specialized experience which includes resolving insurance billing discrepancies; entering and retrieving data within healthcare systems; utilizing medical terminology for claims coding; and maintaining suspense records for billing and correspondence.

This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).

Some federal jobs allow you to substitute your education for the required experience in order to qualify.

For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

Proficiency Required: This position requires a qualified typist. A qualified typist can type 40 words per minute based on a 5-minute sample with three or fewer errors. Major Duties:

• Performs pre-admission/pre-certification duties.
• Conducts pre-admission processing of all non-active-duty Uniformed Services beneficiaries scheduled for inpatient treatment or same day surgery.
• Interviews the patient concerning insurance coverage, obtains as much information as possible, and explains and markets the Third-Party Collection Program (TPCP) to the patient.
• Prepares and processes insurance claims and other billing documents.
• Analyzes Accounts Receivable for assigned claims to determine status of claims errors or obstacles that could delay/prevent payment.
• Reviews payments and Explanation of Benefits (EOB) received from the insurance companies.
• Performs office automation duties.