Voucher Examiner

Indian Health Service • Eagle Butte, SD

1d

About The Position

The Voucher Examiner works at the Cheyenne River Health Center, an HHS/IHS facility, overseeing accounts receivable and reimbursement of outstanding accounts. The role processes a variety of transactions, compiles reports for third-party billing activities and accounts, generates aged reports to support follow-up and collections, coordinates collections for third-party reimbursement, and reviews patient accounts to determine their status.

The position may be filled at GS-05, GS-06, or GS-07, with promotion potential to GS-07. Advancement is discretionary and is not guaranteed. Applicants must meet the applicable experience and/or education qualifications for the grade. The role is covered by a bargaining unit and requires U.S. citizenship, a federal background investigation, and a financial suitability review. Selectees may be subject to a probationary period; ESEP appointees typically serve a two-year trial period. A REAL ID-compliant state ID or driver's license is required if used among the two forms of identification presented before appointment.

Requirements

• GS-05: At least one year of specialized experience analyzing patient accounts and determining the adjustments needed to reconcile and balance them; alternatively, four years of education above high school or a qualifying combination of education and experience.
• GS-06: At least one year of specialized experience processing third-party health plan transactions, coordinating reimbursement collections, maintaining an automated accounts receivable ledger, posting claim payments, monitoring claim-payment rollover to secondary and tertiary billing, generating summary reports, and researching and troubleshooting voucher-payment problems.
• GS-07: At least one year of specialized experience identifying, auditing, posting, and collecting from third-party health plan carriers; ensuring compliance and justification of payment requests; verifying requests against authorization records; entering payment information into an automated financial accounting system; and resolving difficult reconciliations.
• Applicants must meet qualification requirements within 30 days of the announcement's closing or cut-off date.
• 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.
• U.S. citizenship is required.
• Selective Service registration is required for males born after December 31, 1959.
• Must successfully pass E-Verify and a federal background investigation.
• Must satisfy the financial suitability review and demonstrate financial responsibility, maintain good standing with creditors, and satisfy legal financial obligations.
• Must present two valid forms of identification before appointment; a state-issued ID or driver's license used must be REAL ID-compliant.
• Must complete required background-investigation forms within five calendar days of issuance.
• Must establish direct deposit for pay.
• The position involves contact or control over Indian children and is subject to the criminal-history restrictions described under Public Law 101-630.
• If using education in place of experience, applicants are encouraged to submit transcripts or course information; official transcripts are required from selectees before an official offer.
• Foreign education used to meet qualifications requires a Certificate of Foreign Equivalency with transcripts.

Responsibilities

• Oversee accounts receivable and outstanding account reimbursement functions.
• Process a wide variety of transactions and compile reports for third-party billing activities and accounts.
• Generate aged reports for follow-up and collection of outstanding accounts.
• Coordinate collections for third-party reimbursement programs.
• Review patient accounts to determine their status.

What This Job Offers

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