• Obtain medical information from Inpatient, Outpatient, Ambulatory Procedure Visit, and/or Observation Records to initiate billing activities.
• Generate bills for inpatient hospitalization, outpatient visits, radiology/laboratory procedures, ambulatory procedure visits, observation care, and pharmaceutical supplies.
• Maintain accountability of claims being processed to ensure bills are processed within established timeframes.
• Correspond in person and telephonically with patients, insurance companies, hospital personnel, law enforcement agencies, etc., to obtain or verify information required in connection with processing of Medical Affirmative Claims.
• Respond to Congressional inquiries concerning the status of requests being processed in a timely manner.
• Serve as the primary Notary for the office.
• Utilize automated computer systems to retrieve specific clinical data to verify insurance/administrative information, and abstract pertinent administrative data.
• Enter pertinent information into an ongoing fiscal year ledger that produces a cumulative billing amount of Medical Affirmative Claims.

Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• A Personnel Security Investigation is required.
• Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
• Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
• Financial Management Level 1 certification is a condition of employment for this position. Failure to obtain this certification within the required time may subject the incumbent to adverse action.
• Must be willing and able to serve as Public Notary for the office.

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.

Specialized Experience: In order to qualify, your resume must demonstrate that you possess at least one year of specialized experience which includes using automated systems to retrieve medical claims data, verifying insurance information for billing purposes, and generating hospital bills. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).

Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

You will be evaluated on the basis of your level of competency in the following areas:

• Clerical
• Customer Service (Clerical/Technical)
• Insurance

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. If you are minimally qualified, your resume and supporting documentation will be compared against your responses to the assessment questionnaire to determine your level of experience. If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

You should list any relevant performance appraisals and incentive awards in your resume as that information may be taken into consideration during the selection process. If selected, you may be required to provide supporting documentation.

Basis for Rating: Qualified candidates will be assigned to one of three quality categories: Best Qualified, Highly Qualified and Qualified. Veteran preference eligibles are listed ahead of non-preference eligibles within each quality category.

• Best Qualified. Candidates in this category possess exceptional skills and experience to exceed well above the minimum requirements for the announced position.
• Highly Qualified. Candidates in this category possess good skills and experience above the minimum requirements for the announced position.
• Qualified. Candidates in this category meet the minimum experience requirements for the announced position.

You may claim Military Spouse preference.

You may claim Priority Placement Program (PPP) preference.

Interagency Career Transition Assistance Program (ICTAP). If you are a Federal employee in the competitive service and your agency has notified you in writing that you are a displaced employee eligible for ICTAP consideration, you may receive selection priority for this position. To receive selection priority, you must: (1) meet ICTAP eligibility criteria (2) be rated well-qualified for the position and; (3) submit the appropriate documentation to support your ICTAP eligibility. To be considered well-qualified and receive selection priority applicants must satisfy all qualification requirements for the position and receive a score of 90 or above. Additional information about the program is on OPM's Career Transition Resources website.