Supervisory Financial Administrative Specialist (Billing)

The Supervisory Financial Administrative Specialist is responsible for performing a broad range of duties to achieve the established Office of Community Care expected results for medical billings, and reimbursable and non-reimbursable collections.

Qualifications:

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/18/2023.

Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement.

For a (GS-09) position you must have served 52 weeks at the (GS-07).
For a (GS-11) position you must have served 52 weeks at the (GS-09).

Note: An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.


Note: In addition to TIG requirements above, you may qualify based on your experience and/or education as described below:

You may qualify based on your experience and/or education as described below: You will be rated on the following Competencies for this position:

Specialized Experience (GS-09): You must have one year of specialized experience equivalent to at least the next lower grade (GS-07) in the normal line of progression for the occupation in the organization.

• Examples of specialized experience would include, but are not limited to:
• Experience using and working with coding systems.
• Advanced knowledge of healthcare reimbursement, VA regulations and eligibilities.
• Oral and written communication skills.
• Understanding of the inter-relationship of healthcare support functions and operations.
• Knowledge of billing guidelines and workload with qualitative and statistical analysis.
• Experience working in healthcare billing such as Medicare, TRICARE, and CHAMPVA guidelines, Sharing Agreements, Worker's Compensation.
• Experience organizing and directing teamwork.

-OR-

• Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have:
  • Master's or equivalent graduate degree or two (2) full years of progressively higher-level graduate education leading to such a degree or LL.B. or J.D., if related.

-OR-

• Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education beyond one year of graduate education.

Specialized Experience (GS-11): You must have one year of specialized experience equivalent to at least the next lower grade (GS-09) in the normal line of progression for the occupation in the organization.

• Examples of specialized experience would include, but are not limited to:
• Comprehensive and thorough knowledge of billing guidelines, healthcare reimbursement, CMS guidelines, third party insurance policies and requirements, accounting regulations, eligibility, VA regulations, Compliance regulations, as well as complex Electronic Data Interchange (EDI) systems that require extended training and experience.
• In-depth knowledge of the range of laws, policies, regulations, and precedents applicable to the administration of one or more important public programs related to health care financial management.
• Comprehensive and practical knowledge of the framework of regulatory material regarding healthcare billing such as Medicare, TRICARE, and CHAMPVA guidelines, Sharing Agreements, Worker's Compensation, appropriate Public Law, rules and regulations.
• Knowledge of coding systems such as ICD 9/ICD-10, CPT and HCPCS, as well as modifier and revenue code guidance.
• Comprehensive knowledge and understanding of the inter-relationship of healthcare support functions and operations such as: accounts receivable management; billing; health information management; patient access; compliance; insurance verification; financial reporting.
• Ability to plan, organize and direct teamwork and to negotiate effectively with management to accept and implement recommendations.
• Expert Oral and written communication skills to establish and maintain effective work relationships with a broad range of people with conflicting priorities and goals.

-OR-

• Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have:
  • Ph.D. or equivalent doctoral degree or three (3) full years of progressively higher-level graduate education leading to such a degree or LL.M., if related.

-OR-

• Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education beyond a master's degree.

You will be rated on the following Competencies for this position:

• Administration and Management
• Decision Making
• Leadership
• Technical Competence
• Insurance

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; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.

Physical Requirements: No unusual physical requirements are present.
Work Environment: Work is performed in a normal office environment.

For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Salary : $57,118 - $89,835