Summary This position is located in the Business Office of the Santa Fe Service Unit, Santa Fe, New Mexico. The position performs accounts receivable support function for the patient account system through the posting of payments and on adjustment to accounts receivable. The position also addresses claims to third party payers which have not receive reimbursement. Incumbent reports to Chief Financial Officer. Responsibilities Reconcile accounts comparing account balance with related data to assure agreement; reviewing records and source documents to identify the sources of discrepancies; and determine the entries required to bring the account to balance. Examine accounts or resolves difficult reconciliation requiring an analysis of adjustments and corrective entries in the patient account system. Performs work consisting of examination for accuracy of claims and other requests for payment of services provided by the agency. Maintain the automated accounts receivable ledger associated with third party payer claims. Prepares monthly, quarterly, and annual reconciliation and recapitulation of third party billing to assure the collections, billed data and the computerized and manual reports are in balances. Reviews and examines various bill types of patient care to third party payers and performs third party collection posting to the automated account receivable program. Responsible for the posting of all contractual/adjustments related to and in conjunction with posting of payments in accordance with hospital policy and procedures. Audits all documents received for completeness and accuracy. Requirements Conditions of Employment You must meet the requirements of the job by 11:59 (Eastern Standard Time) of the closing date: 08/16/2024 Qualifications 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. 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. For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume. MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience includes performing a variety of accounts receivable functions such as preparing daily collections, adjust and post payments, examine and follow-up on claims, reconcile and balance accounts, process refunds and prepare financial reports. Proficiency Requirements: In addition to meeting experience or education requirements, applicants for this position must possess of Office Automation skills and must have typing proficiency of 40 words per minute. Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). Education Additional Information Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave is earned. This position is covered by a Bargaining Unit. CONDITIONS OF EMPLOYMENT: Security Clearance: 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. You will receive instructions on how to obtain and submit fingerprints and background investigation documentation. 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. This position is covered by Public Law 101-630, the Indian Child Protection and Family Violence Protection Act (25 United States Code Chapter 34) requiring contact or control over Indian children. Due to this law, 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. Seasonal Influenza immunization is required for civilian health care facility staff working in Indian Health Service health care facilities. IHS - Operated Properties are tobacco free