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naval medical center san diego, CA
Secret Polygraph Unspecified
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Job Description
Duties
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Requirements
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Conditions of employment
Who May Apply: US Citizens
In order to qualify, you must meet the education requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document .
Specialized Experience: One year of specialized experience which includes: (1) generating health insurance claims to third party payers and/or responsible parties; and (2) utilizing automation systems to retrieve health insurance information and (3) re-billing or correcting billing of accounts previously submitted. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).
Education
Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Additional information
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- Analyzes and performs work necessary to accomplish work processes by using numerous manual and automation systems and software programs necessary for billing operations.
- Compares account balances in various financial and billing information systems with related data to assure agreement.
- Utilizes a thorough knowledge of medical terminology and disease processes to analyze each record of treatment to ascertain which visits are related to the claim in question.
- Identifies sources of reimbursable earnings and ensuring accurate billing, collecting, depositing and reporting of these earnings.
- Responsible for daily operation for all aspects of reimbursable account management assuring that billing and collection procedures comply with policies and procedures directed by higher authority.
- Receive daily encounter forms or computer downloads from all clinical services reflecting care patient received. Review each encounter for consistency, accuracy, and completeness of data.
Requirements
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Conditions of employment
- Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
- This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment.
- This position has been designated "Mission Essential". In the event of severe weather conditions or other such emergency type situations the incumbent is required to report to work or remain at work as scheduled to support mission operations.
- Appointment to this position is subject to a one-year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315.
- Employees assigned to a medical treatment facility are required to be screened for applicable immunizations or pre-existing immunity based on occupational risk, regardless of job series.
- This position has a mandatory seasonal influenza vaccination requirement and is subject to annual vaccination.
- This is A FINANCIAL MANAGEMENT Level 1 Certified position. Failure to obtain this certification within the required time may subject the incumbent to adverse action.
Who May Apply: US Citizens
In order to qualify, you must meet the education requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document .
Specialized Experience: One year of specialized experience which includes: (1) generating health insurance claims to third party payers and/or responsible parties; and (2) utilizing automation systems to retrieve health insurance information and (3) re-billing or correcting billing of accounts previously submitted. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).
Education
Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Additional information
- Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
- You will be required to provide proof of U.S. Citizenship.
- One year trial/probationary period may be required.
- Direct Deposit of Pay is required.
- Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
- Multiple positions may be filled from this announcement.
- Salary includes applicable locality pay or Local Market Supplement.
- If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
- Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
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