Voucher Examiner

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.

01MINIMUM QUALIFICATIONS

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: GS-05: One (1) year of specialized experience equivalent to at least GS-04 grade level; or four (4) years above high school. GS-06: One (1) year of specialized experience equivalent to at least the GS-05 grade level.

GS-07: One (1) year of specialized experience equivalent to at least the GS-06 grade level. EXAMPLE OF SPECIALIZED EXPERIENCE FOR THE GS-05: Responsible office work to include processing of business transactions, such as the inputting, reviewing, organizing and analyzing of data as accomplished through the use of automated database and/or electronic business systems.

EXAMPLE OF SPECIALIZED EXPERIENCE FOR THE GS-06: Progressively responsible office work to include processing of business transactions, such as the inputting, reviewing, organizing and analyzing of data as accomplished through the use of automated database and/or electronic business systems; preparing and reviewing documents to verify data and to identify necessary entries into automated database and/or electronic business systems; maintaining manual filing systems; and working to resolve unpaid balances.

EXAMPLE OF SPECIALIZED EXPERIENCE FOR THE GS-07: Processing third party health plan transactions, generating and analyzing aged summary reports, maintaining patient accounts in automated systems to include posting claim payments and adjustments, monitoring claim payment rollover to secondary and tertiary billing, monitor account balances, review posting to ensure accuracy, and recommend appropriate correction action, performing account reconciliation, maintaining manual filing system of records related to collections, denials, and other pertinent revenue cycle documents, coordinating collection of open patient accounts and working closely with internal stakeholders and external agencies and third party payers to resolve unpaid balances for medical services rendered, compiling reports for third party billing activities and accounts.

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.

Works to complete general transactions and compiling reports for third party billing activities and accounts. Works with large integrated data systems that include medical, fiscal and management data in numerous related computer files. Identifies audits, posts and collects from third party health plan carriers for outpatient clients to recover maximum dollars. Assists in developing statistical reports and control methods in determining receivable and collections.

Responsible for accurate processing of secondary and tertiary billing after posting payment of initial claims. Maintains documents of all activity related/performed on patient accounts in patient financial folder. Documentation will include dates, telephone numbers, name or person contacted with the status of payment.