Billing Technician

Summary

This position is located in the Business Office at the Yakama Service Unit in Toppenish, Washington. The incumbent serves as a Billing Technician responsible for processing claims on-line to third party carriers which include Medicare, Medicare Part D, Medicaid and all other third-party payors. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Duties

Process insurance billing functions including prior authorizations, claim preparation, demographic verification, and third-party insurance data entry to ensure accurate and timely reimbursements. Research and resolve denied or aged claims, maintained accounts receivable records, and collaborated with billing, accounting, and registration teams to maximize collections and claim resolution. Manage patient billing documentation and correspondence by retrieving medical records, maintaining electronic and paper filing systems, and supporting compliance with third-party billing regulations and reporting requirements. Requirements (continued): 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.

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, GS-5: 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: Experience in administrative and financial support with a background in billing, accounts receivable, records management, and customer service. Demonstrates skill in reviewing and processing documentation, maintaining accurate records, resolving issues, coordinating with internal teams and external organizations, and ensuring compliance with established procedures and regulations. Manages multiple tasks effectively, communicates clearly, and supports efficient daily operations in a fast-paced environment. OR Four (4) years of education beyond the high school level. OR A 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 equals at least 100 percent to qualify for this GS-05 grade level. Must submit transcripts.In addition to meeting experience or education requirements, applicants for these positions must show possession of the following skills, as appropriate. Proficiency Requirements: Applicants must present evident passing the typing proficiency from a school or other organization authorized to issue such certification (40 WPM typing speed, WPM are based on a five minute sample with three or fewer errors.) Typing proficiency must be submitted with your employment application. Certificates or proficiency are acceptable for 3 years from date of issuance. 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 by respective cut-off day of rating to be eligible for consideration. The first cutoff date will be November 13, 2026, at 11:59 pm EST. Future cutoff dates will be each Friday thereafter at 11:59 pm EST until the closing date. Your application will remain active for 90 days from the submission of application.

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 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/. You will need to set up direct deposit so we can pay you. Background Investigation Requirement: This position requires the successful completion of a federal background investigation as a condition of employment. A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service. Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability. Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process. 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 standing with creditors, and satisfy all legal financial obligations prior to applying. Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS). 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.

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/.

Source: USAJOBS (usajobs.gov). View the full announcement and apply on USAJOBS.