Uniform Business Office Technician

Full Job Description

About the Position: This position is located at Brooke Army Medical Center, Fort Sam Houston, Texas.

This is a Direct Hire Solicitation 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 medical claims processing, using automated billing systems to reconcile financial data, and reviewing medical documentation for accuracy and completeness.

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:

• Review claims, correct billing errors, reconciling payments, analyzing denial trends, and ensuring compliance with DoD and DHA billing policies
• Review inpatient and outpatient medical documentation, verifies coding and ensures bills are accurate, complete, and submitted within required timeframes.
• Prepare bills, gather supporting medical documentation, and forward cases for legal processing. Maintains tracking spreadsheets and updates claim statuses.
• Communicates with patients, insurance companies, clinics, law enforcement, and other agencies to obtain or verify information, resolve billing issues, and explain entitlements or billing procedures.
• Use Automated office software to process claims. Troubleshoot system errors, coordinates with IT, and helps improve automation processes.