Billing Technician

Summary

Located in the Albuquerque Service Unit Business Office, this position supports the Albuquerque area through billing, claims processing, reimbursement, and accounts receivable follow-up. Duties include reviewing patient accounts, payer requirements, documentation, and billing codes to ensure accurate, compliant claim submission and reimbursement. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Duties

• Reviews, prepares, submits, corrects and verifies third-party claims, ensuring documentation, charges and billing codes support accurate and compliant reimbursement. Reviews all documentation and payer requirements to identify errors, missing information, denials and appropriate corrective billing actions. Monitors rejected, denied, and unpaid clams, performing follow-up with payers and internal departments. Prepares workload, billing and productivity reports. Answers billing questions, keeps patient account information up to date, and follows current billing rules and procedures. Checks medical billing codes to make sure claims are complete and accurate.

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-07: 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: Processing and reviewing healthcare claims to make sure patient, insurance, billing, and medical information is complete and accurate before claims are submitted for payment. Correcting rejected or denied claims, following up on unpaid accounts, reviewing billing codes and supporting documentation, and working with insurance companies, providers, and other staff to resolve billing problems. Experience also includes tracking claim status, reviewing aging reports, and maintaining accurate billing and account 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.

Education

There is no education requirement.