Job Description
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 GS-05: One (1) year of specialized experience equivalent to at least the GS-04 grade level performing the following type of work and/or tasks: Resolve questions related to accounting, payments, and financial matters. Review accounting records and documents to identify errors, resolve discrepancies, and take appropriate action. Ensure financial transactions are accurate, complete, and compliant with established policies and procedures. OR Successful completion of four (4) years of education above the high school level. OR A combination of education and specialized experience with courses related to the occupation that meets 100% of the qualification requirements for this position. GS-06: One (1) year of specialized experience equivalent to at least the GS-05 grade level performing the following type of work and/or tasks: Perform accounts receivable support functions, including researching denied claims, outstanding obligations, payment inquiries, and errors affecting patient accounts and third-party billing. Review and reconcile patient accounts and automated accounting records to identify discrepancies, determine payment status, and initiate appropriate corrective action. Review and process payment vouchers to ensure they are accurate and complete. GS-07: One (1) year of specialized experience equivalent to at least the GS-06 grade level performing the following type of work and/or tasks: Review and analyze patient accounts to identify billing errors and ensure accurate processing of claims and payments. Manage accounts receivable activities by monitoring outstanding balances, following up on delinquent accounts, and coordinating collection efforts with third-party payers. Process third-party billing, update account balances, and maintain accurate financial records. 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.
8:00 AM
Pull your AR worklist. Claims are sorted by payer, days in AR, and dollar amount. Priority: anything over 60 days old and over $1,β¦
8:30 AM
Work a batch of Medicare claims stuck in 'processing' status. Log in to the Medicare FISS portal, check claim status on each one.β¦
9:30 AM
Call the Cigna provider line for a claim that's been in process for 45 days. On hold for 18 minutes. The rep tells you the claim wβ¦
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