Provide Program Support Services for the Uniform Business Office Division in the Resource Management Department (Comptroller) U.S. Naval Hospital Guam.
Provide support services for coordinating, processing and organizing billing insurance and reimbursement, billing non-eligible civilian patients, and processing Interagency bills for Veterans Administration for medical services provided.
Shall work side-by-side with GS employees, and provide variety of support.
Shall attend meetings and providing updates on current status of projects and funds.
Analyze customer’s needs and assess programs performance and objective.
Providing continual maintenance of an internal mechanism/spreadsheet that tracks the status of all billable encounters as provided by the UBO Manager or equal;
Ensuring that all related encounters with disclosed health insurance coverage are effectively billed to insurance companies within 10 days of the admission/discharge generating on applicable ABACUS reports;
Conducting follow up to guarantee that the insurance company either makes payment or provides formal explanation of benefits for all claims;
Working with insurance companies to re-bill claims with appropriate corrections, supporting documentation, or to file appeals to ensure payment;
Ensuring all billable encounters are submitted to CRS within 60 days of the date of admission/discharge;
Preparing all necessary paperwork for filing accounts with CRS and debt with Artiva Program.
Working with customers over the phone and at the service window to educate them Naval Hospital Guam billing process and their responsibilities;
Communicating with insurance companies in pursuit of successful collection of payments;
Working with UBO leadership to develop and continuously improve processes in order to meet the above program requirements;
Quality checking work performed by other contract or GS staff;
Creating and running reports in Military Health System billing and related software programs.
Assisting staff members with the cleanup of aged outstanding accounts by preparing account packages and other required process to satisfy policy requirements as set by BUMED;
Completing necessary training;
Managing a share point file including building and developing excel spreadsheets and other documents to more effectively run billing programs;
Helping develop written communication (letters, brochures, memos, etc.) to improve education and communication with customers, insurance companies and staff;
Working flexible hours to include working from 6:00AM-4:00PM as needed for calling numbers in the United States of America.
Required Skills
Possess professional knowledge of customer relations programs and customer conflict resolution techniques.
High School graduate or equivalent with courses in typing, filing, office methods, and business English.
One year experience in medical general office environment required.
Be able to speak, read, write and understand the English language fluently.
Experience in a healthcare facility, and knowledge of the military health care system.
Knowledge of the Armed Forces Billing and Collection Utilization Solution (ABACUS)
Knowledge of the Composite Health Care System (CHCS).
High-level self-starter with demonstrated technical experience in medical billing.
Ability to provide information and assistance to eligible beneficiaries based on in-person, written, or telephone inquiries.
Keyboard skills in typing and computer word processing, use of various Microsoft programs, database management for monitoring, and graphics software for designing audio-visual training aides.
Skill in operating computers, scanners, copiers, printers, fax machines, and
E-mail in a work processing/data transcription mode. Knowledge of grammar, spelling, punctuation, and formats.
Knowledge in correspondence handling procedures.
Knowledge of medical terminology.
Required Experience
Qualifications
Possess professional knowledge of customer relations programs and customer conflict resolution techniques.
High School graduate or equivalent with courses in typing, filing, office methods, and business English.
One year experience in medical general office environment required.
Be able to speak, read, write and understand the English language fluently.
Experience in a healthcare facility, and knowledge of the military health care system.
Knowledge of the Armed Forces Billing and Collection Utilization Solution (ABACUS)
Knowledge of the Composite Health Care System (CHCS).
High-level self-starter with demonstrated technical experience in medical billing.
Ability to provide information and assistance to eligible beneficiaries based on in-person, written, or telephone inquiries.
Keyboard skills in typing and computer word processing, use of various Microsoft programs, database management for monitoring, and graphics software for designing audio-visual training aides.
Skill in operating computers, scanners, copiers, printers, fax machines, and
E-mail in a work processing/data transcription mode. Knowledge of grammar, spelling, punctuation, and formats.