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Medical Insurance Technician (Office Automatiion)

Department of Defense
Military Treatment Facilities under DHA
Defense Health Agency Indo Pacific Region Hawaii Market

Summary

About the Position: This position is with the Defense Health Agency, located at Tripler Army Medical Center, Directorate of Resource Management, Honolulu Hawaii.

Overview

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Accepting applications
Open & closing dates
03/05/2026 to 03/12/2026
Salary
$52,680 to - $68,485 per year

A cost of living allowance (COLA) of 8.64% is currently authorized; subject to change.

Pay scale & grade
GS 7
Location
1 vacancy in the following location:
Tripler Army Medical Center, HI
Remote job
No
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
None
Supervisory status
No
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Financial disclosure
No
Bargaining unit status
Yes
Announcement number
HSJG-26-12902700-MP
Control number
859915500

Duties

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  • Manage a Third-Party Collection program to include patient account management, billings, tracking of outstanding accounts receivable, follow-up of open claims, and periodic reporting requirements.
  • Receive and respond to a wide variety of correspondence and telephone inquiries generated by third party insurance carriers, beneficiaries and others relating to the Uniform Business Office Program.
  • Resolve issues related to improperly coded or formatted bills, claim appeals and denials and corrects billing documents to facilitate payment of disputed or rejected bills.
  • Act as key trainer to new department employees on team policies/procedures.
  • Research patient records and reconstruct incorrect or missing medical information required to prepare a valid insurance billing.
  • Determine appropriate billing amount utilizing the most current billing methodology provided by the Tricare Management Activity.
  • Review and update billing information to ensure accurate records are kept.
  • Investigate and evaluate patient account information, medical records and bills, billing and reimbursement regulations to resolve delinquent payment issues of complex.

Requirements

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Conditions of employment

  • Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
  • Employees assigned to a medical treatment facility are required to be screened for applicable immunizations or pre-existing immunity based on occupational risk, regardless of job series.
  • This position has a mandatory seasonal influenza vaccination requirement and is subject to annual vaccination.
  • Appointment to this position is subject to a one year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315.
  • THIS IS A FINANCIAL MANAGEMENT Level 1 Certified position designated as such IAW the National Defense Authorization Act 2012, Public Law 112-81, Subtitle F-Financial Management, section 1051, amending 10 USC, section 1599d.
  • This position is required to comply with all DoD requirements of this certification program. It is a condition of employment for this position. Failure to obtain this certification within the required time may subject the incumbent to adverse action.

Qualifications

Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected.

  • Current Civilian Employees of the Defense Health Agency (DHA)
  • Current Permanent Department of Defense (DoD) Civilian Employee
  • Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce
  • Interagency Career Transition Assistance Plan
  • Land Management Workforce Flexibility Act
  • Military Spouses, under Executive Order (E.O.) 13473
  • Non-Appropriated Fund Instrumentality (NAFI)
  • Non-Department of Defense (DoD) Transfer
  • Office of Personnel Management (OPM) Interchange Agreement Eligible
  • Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible
  • Priority Placement Program, DoD Military Spouse Preference (MSP) Eligible
  • Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement
  • Priority Placement Program, DoD Retained Grade Preference Eligible
  • Reinstatement
  • Veterans Employment Opportunity Act (VEOA) of 1998


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: One year of specialized experience which includes experience processing patient billings, analyzing accounts receivable, reviewing patient accounts for accuracy and completeness of data, and identifying errors and inaccuracies. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).

Proficiency Required: This position requires a qualified typist. A qualified typist can type 40 words per minute based on a 5 minute sample with three or fewer errors.

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.

Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-06).

Additional information

  • Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
  • You will be required to provide proof of U.S. Citizenship.
  • One year trial/probationary period may be required.
  • Direct Deposit of Pay is required.
  • Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
  • Recruitment or relocation incentives are not authorized.
  • Advanced In-Hire may be authorized.
  • Multiple positions may be filled from this announcement.
  • Salary includes applicable locality pay or Local Market Supplement.
  • If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
  • Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments here: https://appsupport.usastaffing.gov/hc/en-us/sections/28980686389652-Reasonable-Accommodation-Information

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

How you will be evaluated

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

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), the responses you provide on the application questionnaire, and the result of the online assessments required for this position. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

  • Arithmetic/Mathematical Reasoning
  • Customer Service
  • Flexibility
  • Integrity/Honesty
  • Interpersonal Skills
  • Reasoning
  • Self-Management
  • Teamwork


Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration.

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.

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