Lead Billing Technician

Indian Health Service • Toppenish, WA

2d

About The Position

This position is located in the Business Office of the Yakama Service Unit. The Lead Billing Technician performs recurring work-leader duties over Billing Technicians engaged in third-party billing and claims processing. The incumbent also assists the supervisor by coordinating routine Business Office workflow and providing technical guidance to staff on billing-related processes, without exercising supervisory authority.

The role supports the third-party billing operation, including claims review and resolution, CPT coding and medical-record abstraction, and compliance with applicable regulatory requirements. The position is covered by a bargaining unit and has no promotion potential.

Requirements

• At least one year of specialized experience equivalent to the next lower federal grade level, including experience leading and assigning work to billing staff.
• Experience performing medical and dental billing, insurance verification, claims processing, coding and documentation review, payer follow-up, collections, and accounts receivable duties.
• Experience using RPMS, EHR, payer portals, and other billing systems; resolving billing and documentation issues; conducting billing audits; maintaining accurate records; protecting confidential patient information; and providing training, technical guidance, and workflow support to billing staff.
• U.S. citizenship is required.
• Selective Service registration is required for males born after December 31, 1959.
• Selectee may be subject to a probationary period; ESEP appointees typically serve a two-year trial period.
• Must comply with the IHS Employee Immunization Policy if duties require work at an IHS healthcare facility, subject to applicable exemption procedures.
• Must submit a Confidential Financial Disclosure Form, pass E-Verify and a federal background investigation, and use direct deposit.
• Applicants must complete required background investigation forms within five calendar days of issuance and present two valid forms of identification before appointment; state-issued identification must be REAL ID-compliant where applicable.
• Federal competitive-service merit promotion candidates must meet time-in-grade requirements; time-in-grade provisions do not apply under the Excepted Service Examining Plan.
• Must meet all qualification requirements by the applicable cutoff date.

Responsibilities

• Analyze, maintain, and direct the third-party billing operation.
• Distribute work, monitor and report on its status and progress, check work in progress, and review completed work for compliance with instructions on priorities, methods, deadlines, and quality.
• Provide the Business Office Manager with data for reports and performance appraisals.
• Receive and examine alternate resources claims to ensure they are complete and have appropriate supporting documents.
• Verify health claim numbers; identify errors, omissions, and duplicate documents; and contact appropriate individuals to resolve problems.
• Provide technical assistance with processing and maintaining CPT coding, abstracting complete charts, and enforcing regulatory compliance requirements.
• Review and analyze CPT coding, abstract and compile data, and maintain and identify potential risk areas in outpatient medical records.
• Coordinate routine Business Office workflow and provide technical guidance to Business Office staff on billing-related processes.

Benefits

• Federal employee benefits package for eligible employees and their families.
• Annual leave accrual based on federal service; newly appointed federal employees may be considered for leave-crediting based on directly related non-federal experience or active-duty uniformed military service.
• Recruitment or relocation incentives may be authorized.
• Student loan repayment programs may be available through IHS, NHSC, or HRSA for qualifying health disciplines; opportunities are separate from the hiring process and depend on agency priorities and funding.

What This Job Offers

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