Summary
This position is located in the Business Office at the Mescalero Service Unit in Mescalero, NM, or the Albuquerque Service Unit in Albuquerque, NM. The incumbent performs coding, abstracting, and billing functions, ensuring timely and accurate claim submission. Enjoy New Mexico's stunning landscapes, rich cultural heritage, and the opportunity to make a meaningful impact in Native American healthcare. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Duties
- Receives and examines alternate resources claims to assure claims are complete with appropriate supporting documents. Verifies accuracy of health claim numbers, claimed amounts are authorized, and identifies errors, omissions, duplications in documents and contacts the appropriate individuals to resolve problems. Uses official coding conventions, techniques and rules established by the American Medical Association, American Dental Association and the Center for Medical Services assigning codes. Reviews reports to identify claims ready for billing, prepares to submit claims to third party payers. Establishes patient accounts and documents all activity performed on patient accounts.
Requirements
Selectee may be subject to a probationary period ESEP appointees typically serve a two year trial 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. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation Requirement: This position requires the successful completion of a federal background investigation as a condition of employment. A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service. Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability. Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process. Financial Suitability Requirement: This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying. Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS). Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.
Education
There are no education requirements.