Summary
The position is located in the Naytahwaush IHS Clinic Business Office (BO), located in Naytahwaush, MN. The incumbent provides registration and eligibility services which are the key point of interaction with patients to obtain and process demographic and insurance information for Alternate Resources, Purchased/Referred Care (PRC), and private/commercial insurance. The position will also perform scheduling duties.
Duties
- Interviews outpatients to obtain pertinent current patient registration demographic information and enters/maintains in RPMS Patient Registration system.
- Obtains, verifies, and sequences insurance information for billing and maximum reimbursement from all alternate resources.
- Determines eligibility status of patients according to IHS policy/guidelines
- Maintains confidentiality of medical record information in accordance with the Privacy Act of 1974, Health Insurance Portability and Accountability Act (HIPAA), and IHS policies and procedures.
Requirements
Conditions of Employment
Must pass pre-employment examination.
Selectee may be subject to a probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959
This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities.
COVID-19 vaccination is required for all selectees prior to entrance on duty.
Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit .
You will need to set up direct deposit so we can pay you.
Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process.
Qualifications
OPEN UNTIL FILLED: THIS ANNOUNCEMENT IS OPEN UNTIL THE VACANCY IS FILLED. IT MAY BE EXTENDED OR CLOSED PRIOR TO THE CURRENT CLOSING DATE. APPLICATIONS MUST BE SUBMITTED BY 11:59 EST TUESDAY TO BE CONSIDERED, FIRST CUT OFF DATE FOR APPLICATIONS IS EVERY TUESDAY THERE AFTER.To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.
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; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.
MINIMUM QUALIFICATIONS:
Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
Specialized Experience Defined: Experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level. Applicants who have the 1 year of appropriate specialized experience, as indicated in the table, are not required by this standard to have general experience, education above the high school level, or any additional specialized experience to meet the minimum qualification requirements.
GS-04: One (1) year of general experience or two (2) years above high school.
GS-05: One (1) year of Specialized Experience equivalent to at least the GS-04 grade level and/or 4 years above high school.
Examples of Specialized Experience: GS-05: Assemble patient records according to prescribed formats, determine patients' eligibility for treatment, schedule appointments or patients with other medical services, answer questions regarding routine procedures, operate personal computers, data processing equipment, and/or office support software for word processing, data entry, or data retrieval.
GS-06: One (1) year of Specialized Experience equivalent to at least the GS-05 grade level.
Examples of Specialized Experience: GS-06: Receive and direct patients and visitors; answering routine inquiries; and making appropriate referral of questions concerning patients' condition, use and apply medical terminology, determine eligibility requirements for Medicare; Medicaid, Veterans' Health, and Vocational Rehabilitation, enforce and work with laws and regulations related to the confidentiality of medical records and the release of information from medical records, computerized data entry and information systems.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
If you meet the minimum qualifications requirements for this position, your application will be evaluated and rated under Category Rating selection procedures. Once the application process is complete, a review of your qualifications will be conducted to determine if you are qualified for this job. Qualified candidates will be assigned to a quality category. The quality categories are: Best Qualified, Well Qualified, or Qualified. Within each of these categories, applicants eligible for veteran's preference will receive selection priority over non-preference eligibles.
Please note that if, after reviewing your resume and or supporting documentation, a determination is made that you have inflated your qualifications and or experience, your category rating can and will be adjusted to more accurately reflect your abilities, or you may lose consideration for this position. Please follow all instructions carefully. Errors or omissions may affect your eligibility.
To determine if you are qualified for this position, a review of your resume and supporting documentation will be made and compared against the qualifications as defined in the qualifications section of this vacancy announcement and your responses to the assessment questions. You will be rated based on the information provided in your resume (your resume must state specific duties that relate to this position) and your responses to the assessment questions will be evaluated against the duties you provided in your resume, along with your submitted documentation to determine your ability to demonstrate the following.
- Customer Service (Clerical/Technical)
- Interpersonal Skills
- Patient Registration
- Technology Application
The following links below provide information on how you may be eligible for various hiring authorities. If you are a Veteran, qualified CTAP and ICTAP eligible, or an individual with a disability, please refer to the following links below for additional guidance. CTAP and ICTAP candidates will be eligible for selection priority if it is determined that they have exceeded the minimum qualifications for the position by attaining at least a "well qualified" rating of 85 out of 100. Information about CTAP and ICTAP eligibility is on the Office of Personnel Management's Workforce Restructuring Career Transition website at: . CTAP/ICTAP documentation requirements are listed in the "Required Documents" section of this announcement.
- Veterans, i.e. (VEOA, VRA, and 30% or more disabled) -
- Career Transition Assistance Program (CTAP) -
- Interagency Transition Assistance Program (ICTAP) -
- Schedule A Appointments for the Disabled -
Click here to view vacancy questions: .
Required Documents
Resume: You are highly encouraged to use USAJOBS Resume Builder to ensure all required information is included in your Resume. If you use your own resume, curriculum vitae, or any other written form you choose then you must describe your job-related qualifications that includes beginning and ending dates for paid and non-paid work experience, hours worked per week, month and year of employment for each job title listed, annual salary, and description of job duties. Include name and address of employer; supervisor name and telephone number.
Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements:
Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records. For detailed instructions, see form BIA-4432. Refer to BIA-4432 link: . When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Veterans Preference: If claiming Veteran's Preference provide a copy of your DD214 Form (Member 4 copy). To claim 10-Point Veterans Preference, submit a SF-15 Application () along with the appropriate supporting documentation. For additional information regarding Veterans Preference visit: .
Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: .
Transcripts: You are encouraged to submit copies of transcripts (official or unofficial) although not required at the time of application. You must list your courses including titles, credit hours completed, and grades. Official transcripts will be required after tentative selection and prior to issuing an official job offer.
Licensure, Certifications: Applicants should list their license/certifications on their resume, along with the expiration date, if applicable. Certification of licensure/certification will be required after tentative selection and prior to issuing an official job offer.
OPEN UNTIL FILLED: THIS ANNOUNCEMENT IS OPEN UNTIL THE VACANCY IS FILLED. IT MAY BE EXTENDED OR CLOSED PRIOR TO THE CURRENT CLOSING DATE. APPLICATIONS MUST BE SUBMITTED BY 11:59 EST TUESDAY TO BE CONSIDERED, FIRST CUT OFF DATE FOR APPLICATIONS IS EVERY TUESDAY THERE AFTER.