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Health Insurance Technician

Department of Defense
Military Treatment Facilities under DHA
Walter Reed National Military Medical Center, Dir for Resource Mgmt, Dept of Uniform Business Office

Summary

About the Position: This position is located at Walter Reed National Military Medical Center (WRNMMC) in Bethesda, MD. Work is performed in an office setting. Core operating hours are 0600-1800, with any eight-hour shift scheduled within that span.

This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD to recruit and appoint qualified candidates to positions in the competitive service.

Overview

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Accepting applications
Location
1 vacancy in the following location:
Work site options
Telework eligible
No
Remote job
No
Relocation expenses reimbursed
No
Salary
$57,736 - $75,059 per year
Pay scale & grade
GS 7
Promotion potential
None
Pay scale and grade determines the salary of the job.
Work schedule
Full-time
Travel Required
Not required
Appointment type
Permanent
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Competitive Service
Represented by a union
No
Drug test
No
Security clearance
Not Required
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Jobs require a background check and some require a security clearance. The type depends on the job.
Background check type
Financial disclosure required
No
Some jobs require financial disclosure to identify conflicts of interests.
Announcement number
HSJT-26-13073009-DHA
Control number
886080400

Duties

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  • Manage and reconcile patient accounts and claims.
  • Provide technical oversight and quality control.
  • Ensure accurate billing, collections, and audit trails for reimbursable earnings.
  • Review, challenge, and analyze insurance payments and denials to maximize reimbursement.
  • Improve and support the Medical Services Accounts (MSA) program and systems.
  • Review and validate encounters for billing eligibility, accuracy, and completeness.
  • Resolve claims issues and ensure follow-up on unpaid/denied bills.
  • Post and reconcile insurance payments, and support billing system operations.
  • Utilize knowledge of hardware (servers, printers, monitors, hard drives, etc.), software, and networking to ensure continuous electronic billing and integration with other medical information systems.

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.
  • This position is subject to a background investigation to determine your suitability for Federal employment.
  • This position has been designated Mission Essential. In the event of severe weather conditions or other such emergency type situations, the incumbent is required to report to work or remain at work as scheduled to support mission operations.
  • Position is designated as Inclement Weather Essential. The incumbent must make every attempt to report for work on time and/or remain on duty during severe weather conditions.
  • You may be authorized to Telework on a Situational basis.
  • The incumbent must complete training and meet position requirements for certification at Level 1 within 2 years of appointment. Failure to obtain and maintain this certification within the required time may subject the incumbent to adverse action.

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: One year of specialized experience which includes working with insurance companies regarding billings or payments; documenting transactions, identifying discrepancies to provide solutions; and working with automated healthcare or financial systems such as: Genesis, Revenue Cycle, Account Receivables Management System, Armed Forces Billing and Collection Utilization Solution (ABACUS). 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.

Education

This job does not have an education qualification requirement.

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.
  • This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest.
  • 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 MAY be authorized for highly qualified candidates.
  • 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.

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.

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. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

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.

Veterans and Military Spouses will be considered along with all other candidates.

Military Treatment Facilities under DHA

As an integrated health care system, the Defense Health Agency delivers healthcare services across the Department of Defense and enables combat support to the Joint Force as a strategic partner. Through a robust healthcare delivery system, and a dedicated team of inspired professionals, the Agency ensures the worldwide delivery of medical, dental, and pharmacy programs to more than 9.5 million uniformed service members, retirees, and their families, by improving health and building readiness

Anytime, Anywhere-Always.

Agency contact information

Army Applicant Help Desk
Website
https://portal.chra.army.mil/hr_public?id=app_inq
Address
JT-DDAAFF NCR DHN - WALTER REED
DO NOT MAIL
Bethesda, MD 20889
US

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