Third Party Collections Specialist

Full Job Description

About the Position: The incumbent performs administrative work of a financial management nature for a military medical treatment facility (MTF). This is a Direct Hire Solicitation.

Who May Apply: US Citizens In order to qualify, you must meet the education/ 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. This position is being filled at the GS-07 level with promotion potential to GS-09.

The duties described reflect the full-performance GS-09 level. Duties performed at the developmental GS-07 level will be completed under appropriate guidance and oversight from a lead or supervisor.

Management may select at either grade level, with the full-performance level being GS-09.

Specialized Experience: GS 07 - One year of specialized experience which includes reviewing medical billings, verifying the accuracy of patient claims, entering data within a fully automated billing or collections system.

This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).

OR Education: One full year of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Budget Administration, Accounting, Finance or similar field of study.

OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%.

To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 18.

Add the two percentages.

Specialized Experience: [GS 09] One year of specialized experience which includes processing patients claims to third party payers; reviewing insurance bills or medical claims; utilizing financial management and/or budget automated systems.

This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-07).

OR Education: Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree, in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as: Budget Administration, Accounting, Finance or similar field of study.

OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%.

To compute the percentage of the requirements, divide your total months of experience by 12.

Then divide the total number of completed graduate semester hours (or equivalent) beyond the first year (total graduate semester hours minus 18) by 18. Add the two Major Duties:

• Manage, monitor, and evaluate performance of the Uniform Business Office’s (UBO’s) other health insurance (OHI) billing Team.
• Conduct periodic review of billing, and reports results to hospital management and higher headquarters.
• Detect errors, omissions, duplications, and inconsistencies in billings generated by electronic billing systems, payments, adjustments, collections, and other supporting documents.
• Establish SOPs for the flow of patient data from the clinical treatment areas to the billing office, ensuring that all reports and documents are completed in a timely fashion
• Coordinate work schedules and assignments to ensure an even flow and distribution of work, the expeditious handling of priorities, that schedules and deadlines are met, and to meet changes in workload.
• Assist in orienting staff and identifying training needs.