Health Insurance Technician
The Defense Health Agency, National Capital Region Medical Directorate (NCR-MD) is the future of Military Medicine- a partnership in World Class Medical Healthcare. The Walter Reed National Military Medical Center, the National Intrepid Center of Excellence (NICoE), Fort Belvoir Community Hospital, Dilorenzo Clinic and the Joint Pathology Center, provide world class medical services to the nation's service members and their families.
About the Position:
The employee will work in the typical office environment. Work is primarily sedentary where a PC is used to document work and process various transactions.
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 this certification within the required time may subject the incumbent to adverse action.
Who May Apply: US Citizens
- Not Required
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 patients and insurance companies regarding bills and payments. Identifying discrepancies and providing solutions. Working with automated systems such as: General Fund Enterprise Business System (GFEBS), Composite Health Care System (CHCS, and/or Account Receivables Management System - Armed Forces Billing and Collection Utilization Solution (ABACUS).
You will be evaluated on the basis of your level of competency in the following areas:
- Accounting Operations
- Attention to Detail
- Computer Skills
- Oral Communication
- Problem Solving
Other Requirements: Click here for expanded definitions.
- 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.
- Two year trial/probationary period may be required.
- Appointment is subject to the completion of a favorable suitability or fitness determination.
- Direct Deposit of Pay is Required.
- Must be able to obtain and maintain a Tier 3 (T3) security clearance.
- This position requires the incumbent to have tuberculosis testing.
- 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 this certification within the required time may subject the incumbent to adverse action.
As a Health Insurance Technician in the Resource Management Department of the Medical Treatment Facility (MTF) you will work under the general supervision of the Uniform Business Office (UBO) manager. The UBO creates financial records of transactions including accounts receivable management requiring the incumbent to use independent judgment and initiative in accomplishment of the work. The UBO account assignments include identifying sources of reimbursable earnings and ensuring accurate billing, collection, deposit, and reporting of these earnings. You will be responsible for ensuring records of billed claims have adequate audit trails. Identify accounts from aged receivable reports requiring additional actions and reviews status of delinquent bills. Assure billing and collection procedures comply with policies and procedures directed by higher authority. You will advise the UBO Manger of unusual trends for non-payment by insurance companies and provides input for analytical and evaluative methods to improve the UBO. You will analyze Accounts Receivable for assigned claims in a timely manner to determine the status of claims errors or obstacles that could delay/prevent payment. Resolve issues related to improperly coded or formatted bills, claim appeals, and denials. Corrects billing documents to facilitate payment of disputed or rejected bills. Maintain suspense records on all claims and correspondence. Initiate inquiries either telephonically or by letter with insurance companies after pre-established time frames in order to determine why the subject bills have not been paid. You will utilize computer knowledge of hardware (i.e. servers, printers, monitors, hard-drive, etc.) and software, along with systems networking to ensure continuous electronic billing and interface with other medical information data systems such as the Composite Health Care System (CHCS), Armed Forces Billing and Collection Utilization System (ABACUS), etc.