Lead Billing Technician

Summary

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.

Duties

• 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.

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-0503-7: 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 leading and assigning work to billing staff; performing medical and dental billing, insurance verification, claims processing, coding and documentation review, payer follow-up, collections, and accounts receivable duties. Experience using RPMS, EHR, payer portals, and other billing systems; resolving billing and documentation issues; conducting billing audits; maintaining accurate records; protecting confidential patient information; and providing training, technical guidance, and workflow support to billing staff. 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 the respective cutoff day of rating to be eligible for consideration. The first cutoff date will be October 23, 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.

Education

There are no education requirements. 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/. The Indian Health Service (IHS), National Health Service Corps (NHSC), and the Health Resources and Services Administration (HRSA) have student loan repayment programs for qualifying health disciplines. This is a competitive process separate from the hiring process. Opportunities for LRP are based on agency hiring priorities and availability of funds. For additional information please visit: For IHS - http://www.ihs.gov/loanrepayment/ For NHSC - https://nhsc.hrsa.gov/loanrepayment/ For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps