Voucher Examiner
Major Duties:
Oversees accounts receivable and outstanding account reimbursement functions. Identifies, audits, posts, and collects from third party health plan carriers for outpatient clients to recover maximum dollars. Reviewing and processing a wide variety of transactions and compiling reports for third party billing activities and accounts. Work requires identifying the type of transactions; extracting, compiling and verifying utilization of billing date; computing and adjusting account balances, comparing required forms and records; submitting and maintaining current assignment of benefits. Work with large integrated data system that includes medical, fiscal, and management data store in numerous related computer files. Coordinates collections for the third party reimbursement program. Develops statistical reports and control methods in determining receivables and collections. Responsible for reviewing for accurate processing of initial claims. Reviews patient accounts to determine the status of the account, making standard adjustments that require it. Responsible to review for accurate processing all of billing for all denials and payments of initial claims; analyze, prepare and process a variety of documents necessary for the maintenance and follow-up of all outstanding patient accounts in A/R. Responsible for reviewing any denials in accordance with service unit policy and procedures. Monitor accounts balances, review posting to ensure accuracy and recommend appropriate corrective action. 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. For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume. MINIMUM
Qualifications:
GS-05:
(1) year of specialized experience equivalent to at least the GS-04 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
processing third party health plan transactions, compiling reports, coordinating collection for third party reimbursement, maintaining automated accounts receivable ledger, posting claim payments, monitoring claim payment rollover to secondary and tertiary billing, generate aging summary reports and reviewing patients accounts. OR 4 years of education above the high school level. OR combination of specialized experience and education post high school with courses related to the occupation that meets 100% of the qualification requirements for this position. GS-06:
1 year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
Coordinating collection for third party reimbursement, maintaining automate accounts receivable ledger, posting claim payments, monitoring claim payment rollover to secondary and tertiary billing, generate Aging summary reports, reviewing patient accounts and resolving difficult reconciliations. You must meet all qualification requirements within 30 days of the closing date of the announcement. 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).
Estimated Salary: $20 to $28 per hour based on qualifications.
Oversees accounts receivable and outstanding account reimbursement functions. Identifies, audits, posts, and collects from third party health plan carriers for outpatient clients to recover maximum dollars. Reviewing and processing a wide variety of transactions and compiling reports for third party billing activities and accounts. Work requires identifying the type of transactions; extracting, compiling and verifying utilization of billing date; computing and adjusting account balances, comparing required forms and records; submitting and maintaining current assignment of benefits. Work with large integrated data system that includes medical, fiscal, and management data store in numerous related computer files. Coordinates collections for the third party reimbursement program. Develops statistical reports and control methods in determining receivables and collections. Responsible for reviewing for accurate processing of initial claims. Reviews patient accounts to determine the status of the account, making standard adjustments that require it. Responsible to review for accurate processing all of billing for all denials and payments of initial claims; analyze, prepare and process a variety of documents necessary for the maintenance and follow-up of all outstanding patient accounts in A/R. Responsible for reviewing any denials in accordance with service unit policy and procedures. Monitor accounts balances, review posting to ensure accuracy and recommend appropriate corrective action. 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. For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume. MINIMUM
Qualifications:
GS-05:
(1) year of specialized experience equivalent to at least the GS-04 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
processing third party health plan transactions, compiling reports, coordinating collection for third party reimbursement, maintaining automated accounts receivable ledger, posting claim payments, monitoring claim payment rollover to secondary and tertiary billing, generate aging summary reports and reviewing patients accounts. OR 4 years of education above the high school level. OR combination of specialized experience and education post high school with courses related to the occupation that meets 100% of the qualification requirements for this position. GS-06:
1 year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
Coordinating collection for third party reimbursement, maintaining automate accounts receivable ledger, posting claim payments, monitoring claim payment rollover to secondary and tertiary billing, generate Aging summary reports, reviewing patient accounts and resolving difficult reconciliations. You must meet all qualification requirements within 30 days of the closing date of the announcement. 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).
- Department:
0540 Voucher Examining - Salary Range:
$35,437 to $51,353 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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