Summary Assist Billing Supervisor in preparation and submission of third-party claims utilizing automated billing service programs and software. This position is under the direct supervision of the Billing Supervisor within the Pine Ridge Service Unit, Business Office. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Duties Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Prepare the accurate and submission of claims to third party payers. Utilize a variety of automated systems to acquire patient medical records and analyze data for construction of billing instruments. Evaluate claims casefile for accuracy, troubleshoot irregularities for timely submittal, and audit casefiles for accountability. Communicate with healthcare providers, counterparts, and patient to obtain accurate data such as dates, medical care services, and wet ink signatures. REQUIREMENTS 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. IHS Selectees whose duties and responsibilities require them to work permanently, temporarily, or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases, consistent with recommendations for healthcare workers. Vaccine exemption requests may be available, as outlined in the IHS Employee Immunization Policy and facility guidance. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. Qualifications 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. 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; social). 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: 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: GS-04: One (1) year of general experience. General experience is progressively responsible clerical, office or other work that indicates ability to perform the work of this position at the GS-4 level. OR Two (2) years of education above the high school level. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. OR Combination of education and experience that when combined fully meet the minimum qualifications for this position. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement. The total percentage must equal at least 100 percent to qualify an applicant for GS-05 grade level. GS-05: One (1) full year of specialized experience equivalent to at least the GS-04 grade level the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: submittal of claims to third party payers, follow-up to and analyze claims rejected, review coding narratives, review applicable forms for accuracy, and timely posting of payments and nonpayment's. OR Four (4) years of education above the high school level. OR Combination of education and experience that when combined fully meet the minimum qualifications for this position. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement. The total percentage must equal at least 100 percent to qualify an applicant for GS-05 grade level. GS-06: One (1) year of full-time specialized experience comparable in difficulty and responsibility to the GS-05 grade level with the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: use of billing systems to coordinate patients benefits, verification billing data, claims processing, accounts receivable, third party billing, and timely posting of payments, adjustments, and generate appeals and denial correspondence. GS-07: One (1) year of full-time specialized experience comparable in difficulty and responsibility to the GS-06 grade level that equipped me with the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: accurately submit third part claims, technical operations of a financial billing system for point of sales, accounts receivable, data verification, research rejected claims and troubleshoot transactions for timely submittal, audit ICD -10 and other coding narratives, audit patient medical record for condition and diagnosis, and provide technical guidance to counterparts, medical staff, and stakeholders. OR Completed 1 year (18 semester hours) of graduate education that is directly related to the work of the position. OR Combination of specialized experience and graduate education that meets 100% of the qualification requirements for this position. Time In Grade 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 date of the announcement. Education There are no education requirements. 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. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. 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. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.