GS-09: 1 year Specialized Experience equivalent to at least the GS-07 level providing advice and guidance on utilizing patient data base information to process bills to alternate resources (e.g. Medicare, Medicaid, Private Insurance and third party liability claims). Makes changes in the methods and procedures, information dissemination and other processing matters to resolve problems and expedite collection of third party payments. Interprets rules and regulations for alternate resource reimbursement for services provided to patients. Provides technical assistance with processing and maintaining ICD-9 (ICD-10), CPT, HCPCS and Procedural Codes. Or a master's degree or equivalent, Or 2 full years of progressively higher level graduate education.
GS-11: 1 year Specialized Experience equivalent to at least the GS-09 level with progressive experience in comprehensive knowledge of health care delivery systems (e.g. Centers for Medicaid and Medicare Services, The Joint Commission on Accreditation of Healthcare Organizations. Comprehensive knowledge of Indian Health Service statues and policies that relate to patient billing reimbursement functions, policies, procedures, etcetera sufficient to coordinate and interface patient billing activities. Extensive knowledge to perform qualitative review, analysis and technical evaluations of medical records. Knowledge of the theory and principles of management and the organization, including administrative practices and procedures common to the healthcare delivery system; Or a Ph.D. or equivalent doctoral degree, Or 3 full years of progressively higher level graduate education.
Undergraduate and Graduate Education: Major study -- hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration. OR
This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:
· Missions, organizations, programs, and requirements of health care delivery systems (Indian Health Service, Tribal Health, and/or Urban Indian programs preferred);
· Knowledge of concepts, principles, practices, and methods involved in management of a complex health care system and diverse programs
· Responsible in monitoring strategic planning activities and provides policy analysis (both in writing and verbally) to Executive Leadership and develops policy based on Leadership direction.
· Knowledge of the interrelationships and interdependencies among various medical and administrative services and programs.
SUPERVISORY OR MANAGERIAL ABILITIES: Candidates should possess proficiency, or the potential to develop proficiency, in these competencies prior to entry into a supervisory position.
· Holds self and other accountable for measurable high-quality, timely, and cost-effective results. Determines objectives, set priorities, and delegates work. Accepts responsibility for mistakes. Complies with established control systems and rules.
· Anticipates and meets the needs of both internal and external customers. Delivers high quality products and services; is committed to continuous improvement.
· Makes well informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.
· Is open to change and new information; rapidly adapts to new information, changing conditions, or unexpected obstacles.
· Behaves in an honest, fair, and ethical manner. Shows consistency in words and actions. Models high standards of ethics.
· Treats others with courtesy, sensitivity, and respect. Considers and responds appropriately to the needs and feelings of different people in different situations.
· Makes clear and convincing oral presentations. Listens effectively; clarifies information as needed.
· Identifies and analyzes problems; weighs relevance and accuracy of information; generates and evaluates alternative solutions; makes recommendations.
· Deals effectively with pressure; remains optimistic and persistent, even under adversity. Recovers quickly from setbacks.
· Writes in a clear, concise, organized, and convincing manner for the intended audience.
Other competencies or technical requirements applicant must meet in addition to the above are:
a. Builds and manages workforce based on organizational goals, budget considerations, and staffing needs. Ensures that employees are appropriately recruited, selected, appraised, and rewarded; takes action to address performance problems. Manages a multi-sector work force and a variety of work situations.
b. Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the organization.
c. Inspires and fosters team commitment, spirit, pride, and trust. Facilitates cooperation and motivates team members to accomplish group goals.
d. Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise.
e. Develops the ability of others to perform and contribute to the organization by providing ongoing feedback and by providing opportunities to learn through formal or informal methods.
- You must meet the requirements of the job by Midnight Eastern Standard Time (EST) on the closing date: Monday, May 06, 2013
- Males born after December 31, 1959 are required to be registered with the Selective Service System in order to be eligible for employment with the Federal Government. You may register or check the status of your registration by visiting the Selective Service website at: http://www.sss.gov
- Per the IHS Excepted Service Hiring Plan: current Indian Preference employees with career status will be considered under the Merit Promotion Plan unless otherwise indicated; please submit a copy of your SF-50, Notification of Personnel Action. You are encouraged to identify on your resume and during the online assessment process which hiring plan you want to be considered under: Merit Promotion and/or the IHS Excepted Service Hiring Plan. See firstname.lastname@example.org for more details.
When applying for Federal jobs eligible Veterans should claim preference on their application or resume. Applicants claiming 10-point preference must complete an SF-15, Application for 10-Point Veterans Preference. Veterans who are still in the service may be granted 5-points tentative preference on the basis of the information contained in their applications; but, they must produce a DD-214 prior to the appointment to document entitlement to preference.
For more information on Veterans Preference please visit: http://www.fedhirevets.gov
HOW YOU WILL BE EVALUATED:
The HHS Careers system simplifies the Federal application process by replacing the former KSA job-element statements with on-line self-assessment questions. Applicants who meet the minimum qualifications requirements will be invited to complete an on-line questionnaire assessing the following:
- Technical Competency in business office operations, concepts, policies and standards
- Planning and Evaluating
- Interpersonal skills
- Customer service
- Human Rersource Management
If found qualified, your score will range from 70-100 points (not including points that may be assigned for Veterans' Preference). We will compare your resume and supporting documentation to your responses on the assessment questionnaire. If you rate yourself higher than is supported by your application materials, your responses may be adjusted and/or you may be excluded from consideration for this job. You will be deemed well qualified if you score 85 and above.
For I/CTAP purposes, you will be deemed well-qualified if you are placed in at least the well-qualified category.