Voucher Examiner

Indian Health Service•Belcourt, ND

About The Position

This position is located in the Division of Administrative Services, Business Office Branch, of the Quentin N. Burdick Memorial Health Care Facility. The purpose of this position is to serve as the Voucher Examiner, the position performs analyzes, maintains and directs billing operations for third party programs and acts as an advocate in the collections of alternative resources. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Requirements

Selectee may be subject to a probationary period
ESEP appointees typically serve a two year trial period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959
This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
On-call hours or standby duty may be required.
Successfully pass the E-Verify employment verification check.
Background Investigation Requirement: This position requires the successful completion of a federal background investigation as a condition of employment.
Applicants must complete all required background investigation forms within five (5) calendar days of issuance.
Financial Suitability Requirement: This position requires a review of the applicant's financial history as part of the personnel security and suitability determination.
Applicants must demonstrate financial responsibility, maintain good credit, and satisfy all legal financial obligations prior to applying.
Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.
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.
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.
MINIMUM QUALIFICATIONS: GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Utilizes diverse accounting and patient business procedures governing a wide variety of patient accounts to analyze and determine the need for, and type of adjustments necessary to reconcile and balance accounts.
OR Completion of 4 years of education above the high school level.
OR A combination of education and experience. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement.
GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Processes third party health plan transactions; coordinates collection for reimbursement; maintains automated accounts receivable ledger; posts claim payments; monitors claim payment rollover to secondary and tertiary billing; generates summary reports; reviews patient accounts, researches and troubleshoots problems encountered with submitted vouchers for payment.
GS-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Identifies, audits, posts and collects from third party health plan carriers; ensures compliance with established regulations and justification of vouchers, invoices, claims and other requests for payment; verifies requests made against the record of what was authorized; enters information into an automated financial accounting system for processing a payment; resolves difficult reconciliations.
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).
You must meet all qualification requirements within 30 days of the closing/cut-off date of the announcement.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Nice To Haves

If you are substituting education for experience; You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades.
Unofficial transcripts will be accepted in the application package.
Official transcripts will be required from all selectees prior to receiving an official offer.
Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Responsibilities

Oversees accounts receivable and outstanding account reimbursement functions.
Processing a wide variety of transactions and compiling reports for third party billing activities and accounts.
Generate aged reports for follow-up and collection of outstanding accounts.
Coordinates collections for third party reimbursement program.
Reviews patient accounts to determine the status of the account.