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HEALTH INSURANCE TECHNICIAN (OFFICE AUTOMATION)

Department of Defense
Military Treatment Facilities under DHA
Defense Health Network West - William Beaumont Army Medical Center
This job announcement has closed

Summary

About the Position: These Health Insurance Technician (Office Automation) positions are located at William Beaumont Army Medical Center, Director for Administration, Resource Management, Uniform Business Office/Treasury.

Overview

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Reviewing applications
Open & closing dates
06/20/2025 to 06/26/2025
Salary
$44,959 to - $58,445 per year
Pay scale & grade
GS 6
Location
3 vacancies in the following location:
El Paso, TX
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
HSJW258613392703
Control number
839090000

Duties

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  • Responsible for patient account management including billings, tracking of outstanding accounts receivable, collections, depositing of monies, and periodic reporting requirements.
  • Efficiently and effectively assisting in the administration of account management of the Third Party Collection Program.
  • Interview, explain and answer questions regarding TPCP to patients and their insurance companies.
  • Determine appropriate International Classification of Disease (most recent edition), (ICD-10) and current Procedural Terminology-4 (CPT-4) codes to define diagnosis, procedures, and level of intensity of evaluation and management codes.
  • Accountable and responsible for accuracy in coding due to civil penalties for misrepresentation of diagnosis and medical treatment contained in Omnibus Budget Reconciliation Act of 1986 and Omnibus Budget Reconciliation Act of 1987.
  • Review payments and Explanation of Benefits (EOB) received from the insurance companies.
  • Receive and respond to a wide variety of correspondence (i.e., requests for additional information and denials) and telephone inquiries.

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.
  • A Personnel Security Investigation is required.
  • This is a DOD Financial Management position. The incumbent must complete training and meet position requirements for certification at Level 1 within 2 years of appointment. Failure to obtain and maintain certification may result in 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.

  • 30 Percent or More Disabled Veterans
  • Current Civilian Employees of the Defense Health Agency (DHA)
  • Current Permanent Department of Defense (DoD) Civilian Employee
  • Defense Civilian Intelligence Personnel System (DCIPS) Interchange Agreement
  • 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
  • People with Disabilities, Schedule A
  • 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 education and/or 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 equivalent to the GS-05 grade level in the Federal service which includes applying third party billing; reviewing insurance claims for accuracy and completion; filing and maintaining insurance records; and utilizing office automated programs to generate or retrieve insurance data. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).

OR

Education: A half year (i.e., 9 semester hours) of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position such as Health Management.

OR

Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) by 9. Add the two percentages.

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.

You will be evaluated on the basis of your level of competency in the following areas:
  • Attention to Detail
  • Computer Skills
  • Interpersonal Skills
  • Reasoning (Clerical/Technical)
  • Technical Competence


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-05).

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications.

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.
  • 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.

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.

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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