Lead Billing Technician
This position is located in the Business Office of the Yakama Service Unit. The incumbent serves as Lead Billing Technician and performs recurring work leader duties over Billing Technicians engaged in third-party billing and claims processing work. The incumbent also assists the supervisor by coordinating routine Business Office workflow and providing technical guidance to Business Office staff on billing related processes, as needed, without exercising supervisory authority.
Analyze, maintain and direct the billing operation for third party program. Distribute, monitor and report on the status and progress of work, checking on work in progress and reviewing completed work to see that the supervisors' instruction on work priorities, methods, deadlines and quality have been met. Provide data to the Business Office Manager for inclusion in reports and use in performance appraisals. Receive and examine alternate resources claims to assure claims are complete with appropriate supporting documents; verify accuracy of health claim numbers; identify errors, omissions, duplications in documents and contact the appropriate individuals to resolve problem. Provide technical assistance with processing and maintaining CPT coding, abstraction of the complete chart and compliance enforcement of all regulatory requirements; review, analyze CPT coding, abstract and compile data, maintain and identify potential risk areas in outpatient medical record.
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 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. Confidential Financial Disclosure Form required. 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/. Direct deposit is required. 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. 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. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).