Health Insurance Technician

About the role

About the Position: This position is located at Walter Reed National Military Medical Center (WRNMMC) in Bethesda, MD. Work is performed in an office setting. Core operating hours are 0600-1800, with any eight-hour shift scheduled within that span.

This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD to recruit and appoint qualified candidates to positions in the competitive service.

What you will do

• Manage and reconcile patient accounts and claims.
• Provide technical oversight and quality control.
• Ensure accurate billing, collections, and audit trails for reimbursable earnings.
• Review, challenge, and analyze insurance payments and denials to maximize reimbursement.
• Improve and support the Medical Services Accounts (MSA) program and systems.
• Review and validate encounters for billing eligibility, accuracy, and completeness.
• Resolve claims issues and ensure follow-up on unpaid/denied bills.
• Post and reconcile insurance payments, and support billing system operations.
• Utilize knowledge of hardware (servers, printers, monitors, hard drives, etc.), software, and networking to ensure continuous electronic billing and integration with other medical information systems.

How you will be evaluated

Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Veterans and Military Spouses will be considered along with all other candidates.

Documents you must provide

• The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment.
• A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements.
• As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply.
• If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.
• Your resume: Your resume must be two pages or less and must support the specialized experience described in this announcement.
• Resumes exceeding two pages will be removed from consideration.
• For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement.
• If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position.
• Avoid using acronyms and terms that are not easily understood.
• The hiring agency will not make assumptions about what's in your resume.
• If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy.
• For additional information, to include formatting tips, see: What to include in your resume.
• Other supporting documents: Cover Letter, optional Most recent Performance Appraisal, if applicable NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office.
• Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you.
• You may sanitize these documents to remove another person's personal information before you submit your application.
• You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.

What to expect next

If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration.

Additional information

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.

This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest.

In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest. Direct Deposit of Pay is required.

Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees. Recruitment or relocation incentives MAY be authorized for highly qualified candidates. Multiple positions may be filled from this announcement.

Salary includes applicable locality pay or Local Market Supplement. If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.

Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.