Voucher Examiner

Salary: $40,736.00 to $65,599.00 Per Year

This position is located in the Division of Administrative Services, Business Office Branch, of the Quentin N. Burdick Memorial Health Care Facility. The purpose of this position is to serve as the Voucher Examiner, the position performs analyzes, maintains and directs billing operations for third party programs and acts as an advocate in the collections of alternative resources. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Major duties

Oversees accounts receivable and outstanding account reimbursement functions. Processing a wide variety of transactions and compiling reports for third party billing activities and accounts. Generate aged reports for follow-up and collection of outstanding accounts. Coordinates collections for third party reimbursement program. Reviews patient accounts to determine the status of the account.

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: 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:Utilizes diverse accounting and patient business procedures governing a wide variety of patient accounts to analyze and determine the need for, and type of adjustments necessary to reconcile and balance accounts. OR Completion of 4 years of education above the high school level. OR A combination of education and experience. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement. GS-06: 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: Processes third party health plan transactions; coordinates collection for reimbursement; maintains automated accounts receivable ledger; posts claim payments; monitors claim payment rollover to secondary and tertiary billing; generates summary reports; reviews patient accounts, researches and troubleshoots problems encountered with submitted vouchers for payment. GS-07: 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: Identifies, audits, posts and collects from third party health plan carriers; ensures compliance with established regulations and justification of vouchers, invoices, claims and other requests for payment; verifies requests made against the record of what was authorized; enters information into an automated financial accounting system for processing a payment; resolves difficult reconciliations. Time In Grade Federal employees in the competitive service are also subject to the 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). You must meet all qualification requirements within 30 days of the closing/cut-off date of the announcement.