Billing Technician

Indian Health Service • Pine Ridge, SD

7d

About The Position

Assist the Billing Supervisor in preparing and submitting third-party claims using automated billing service programs and software. The position is in the Pine Ridge Service Unit Business Office and reports directly to the Billing Supervisor. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

The role prepares and submits claims to third-party payers, uses automated systems to obtain patient medical records and analyze data for billing instruments, and reviews claim casefiles for accuracy. It includes troubleshooting irregularities to support timely submission, auditing casefiles for accountability, and communicating with healthcare providers, counterparts, and patients to obtain accurate information such as dates, services provided, and wet ink signatures.

The position has promotion potential to GS-7; promotion is discretionary and not guaranteed. The incumbent may be subject to a probationary period and must meet applicable federal employment, background investigation, financial suitability, identity verification, immunization, and other stated conditions of employment.

Requirements

• Meet the applicable experience and/or education qualifications for the grade level sought. The posting describes GS-4 through GS-7 pathways, including general or specialized experience, qualifying education, or combinations of education and experience.
• For GS-4, qualify through one year of general experience, two years of education above high school, or a qualifying combination.
• For GS-5, qualify through one year of specialized experience equivalent to GS-4, four years of education above high school, or a qualifying combination.
• For GS-6, qualify through one year of full-time specialized experience comparable to GS-5.
• For GS-7, qualify through one year of full-time specialized experience comparable to GS-6, one year (18 semester hours) of directly related graduate education, or a qualifying combination.
• Meet all qualification requirements within 30 days of the announcement closing date.
• U.S. citizenship is required; Selective Service registration is required for males born after December 31, 1959.
• Successfully complete the federal background investigation and financial suitability review; complete required investigation forms within five calendar days of issuance.
• Successfully pass E-Verify employment verification and provide two valid forms of identification before appointment. A state-issued ID or driver's license used as identification must be REAL ID-compliant.
• Comply with the IHS Employee Immunization Policy if duties require work permanently, temporarily, or occasionally in an IHS healthcare facility; vaccine exemption requests may be available under policy and facility guidance.
• Meet the Public Law 101-630 suitability requirement for a position involving contact or control over Indian children.
• Set up direct deposit. Selectees may be subject to a probationary period; ESEP appointees typically serve a two-year trial period.
• Federal competitive-service merit-promotion candidates must meet time-in-grade requirements; these provisions do not apply under the Excepted Service Examining Plan.

Responsibilities

• Prepare and submit accurate claims to third-party payers.
• Use automated systems to obtain patient medical records and analyze data for billing instruments.
• Evaluate claims casefiles for accuracy, troubleshoot irregularities for timely submission, and audit casefiles for accountability.
• Communicate with healthcare providers, counterparts, and patients to obtain accurate dates, medical services information, and wet ink signatures.
• Depending on grade-level qualifications and assigned duties, process claims, review coding narratives and forms, coordinate patient benefits, manage accounts receivable, post payments and adjustments, generate appeals and denial correspondence, research rejected claims, audit coding and medical records, and provide technical guidance.

Benefits

• Federal annual leave accrual at a rate of 4, 6, or 8 hours per pay period based on federal service; IHS may credit qualifying prior non-federal experience or active-duty uniformed military service when determining annual leave accrual.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed