Summary
This position is located in the Patient Business Services/Patient Registration of the Phoenix Indian Medical Center. This position performs registration, admission, and benefits coordination services to new and returning patients. Patients are interviewed for the purpose of obtaining patient demographic and insurance information to determine eligibility for healthcare, alternate resources, and purchased referred care services. This position is located in Phoenix, AZ.
Duties
This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information.
- Determines the eligibility of patients seeking health care, who have not previously been treated at the facility, by obtaining the certification of Indian Blood quantum or other documentary proof of tribal membership, according to the I.H.S. guidelines. Incumbent will be required to deliver verbal and/or written messages of denial for health services if/when the patients cannot provide appropriate documentation of tribal enrollment.
- Collects patient's third-party recipient health cards, obtains photocopies of the card, and explains the program to the beneficiaries, including why Medicare, Medicaid, or the private/commercial insurance will be billed for the services they received at the I.H.S. facility.
- Assures and/or initiates timely entry of AHCCCS and Medicare information to augment outpatient/inpatient billing efforts and to enhance access to health services or other medical specialty care. Updates the RPMS and medical record data sets to reflect current alternate resource information.
- Works with Purchased Referred Care (PRC) in screening for eligibility for services. Assists patients with applications for alternate resources and interpreting rules and regulations of the agency and/or federal and state entities.
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.
Confidential Financial Disclosure Form required.
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.
On-call hours or standby duty may be required.
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
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:GS-05
- 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-04 level in the Federal service as described in the vacancy announcement. Examples of specialized experience include: Knowledge of, and skill in applying, comprehensive rules, regulations, techniques, and procedures sufficient to: Work with customers to resolve complaints, process orders, and provide information about an organization's products and services; Listen to customers' questions and concerns and provide answers or responses; Provide information about products and services; Review customer accounts and make changes, if necessary; Handle returns or complaints; Record details of customer contacts and actions taken; Refer customers to supervisors or more experienced employees. OR
- 4 years of education above the high school level
OR
- Combination of education and experience that when combined fully met the minimum qualifications for this position.
- 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-05 level in the Federal service as described in the vacancy announcement. Examples include: Knowledge of, and skill in applying, an extensive body of rules and procedures concerning benefits processing sufficient to clarify benefit processes and procedures to customers; conduct personal or telephone interviews; search records or guidelines; provide full explanations in response to specific inquiries relating to the agency; resolve problems and issues; evaluate the extent of customers' knowledge of the options and choices open to them; explain the requirements placed on them by laws and regulations; and review records and contact other offices to learn the status of pending actions, the reasons for delays or changes, and what action or additional information is required to resolve the case.
- 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-06 level in the Federal service as described in the vacancy announcement. Examples include: Knowledge of, and skill in applying, standardized rules, processes, and procedures concerning working with patients in a health care setting to resolve complaints, process paperwork associated with eligibility for health care. Knowledge must be sufficient to provide written and oral information to the public regarding eligibility requirements for health care benefit programs such as Medicare, Medicaid, Social Security Insurance, First Steps, and other similar resources to respond to inquiries from individuals as they relate to health services the medical facility can provide, solve problems or educate individuals about medical facility health programs and procedures. Ask questions to get a clear and accurate understanding of information sought by the public; and provide other support and assistance work in the office.
You must meet all qualification requirements within 30 days of the closing date of the announcement.
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)
- Oral Communication
- Reasoning
- Technical Competence
- 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: . All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of, 10/14/2024, to be considered.
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.
You must meet the requirements of the job by 11:59 (Eastern Standard Time) of the closing date: 10/14/2024