Uniform Business Office Technician

Full Job Description

About the Position: This position is located at the 42nd Medical Group, Maxwell Air Force Base.

This is a Direct Hire Solicitation Salary negotiation may be available for those candidates who are new to Federal service.

Non-Federal work experience may be creditable for leave purposes 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 assisting with the preparation of medical claims, utilizing automation systems to reconcile financial data, and reviewing medical documents for completeness and accuracy.

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

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. Major Duties:

• Compare account balances in financial and billing information systems to assure agreement; review records and source documents to identify the sources of discrepancies; and determine the entries or actions required to bring the accounts into balance.
• Audit daily work for use of appropriate International Classification of Disease and Current Procedural Terminology (CPT) codes, clinical rate, and payment posted to accounts and denial or reduced payments compliance guidelines.
• Utilize a thorough knowledge of medical terminology and disease processes to analyze each record of treatment to ascertain which visits are related to the claim in question.
• Contact in writing and/or telephonically various clinics and/or health care providers to obtain additional information as required.
• Ensure records of billed claims have adequate audit trails; identifying accounts from aged receivable reports requiring additional actions; and reviewing status of delinquent bills.
• Review insurance payments; sends questionable payments/denials back to insurance company for review for additional reimbursement.
• Classify transactions, determine amounts owed, collect monies due, make deposits, complete a wide variety of accounting transactions, monitor and reconcile accounts in various financial systems
• Assist in troubleshooting the various billing and collection information systems when errors or inconsistencies with data outputs or inputs are encountered—working with various support helpdesks both within DHA and from the software service provider.