Summary This position is located in the Patient Business Services/Patient Registration of the Phoenix Indian Medical Center. This position performs registration, admission, and benefits coordination services to new and returning patients. Patients are interviewed for the purpose of obtaining patient demographic and insurance information to determine eligibility for healthcare, alternate resources, and purchased referred care services. This position is located in Phoenix, AZ. Responsibilities This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. Determines the eligibility of patients seeking health care, who have not previously been treated at the facility, by obtaining the certification of Indian Blood quantum or other documentary proof of tribal membership, according to the I.H.S. guidelines. Incumbent will be required to deliver verbal and/or written messages of denial for health services if/when the patients cannot provide appropriate documentation of tribal enrollment. Collects patient's third-party recipient health cards, obtains photocopies of the card, and explains the program to the beneficiaries, including why Medicare, Medicaid, or the private/commercial insurance will be billed for the services they received at the I.H.S. facility. Assures and/or initiates timely entry of AHCCCS and Medicare information to augment outpatient/inpatient billing efforts and to enhance access to health services or other medical specialty care. Updates the RPMS and medical record data sets to reflect current alternate resource information. Works with Purchased Referred Care (PRC) in screening for eligibility for services. Assists patients with applications for alternate resources and interpreting rules and regulations of the agency and/or federal and state entities. **This position is being announced concurrently under Delegated Examining Plan (DE) procedures. Please review vacancy announcement number IHS-24-PI-12331595-DE; for eligibility requirements. NOTE: Applicants must apply separately for each announcement in order to be considered.** Requirements Conditions of Employment Must pass pre-employment examination. Selectee may be subject to a probationary/trial 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. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. COVID-19 vaccination is required for all selectees prior to entrance on duty. On-call hours or standby duty may be 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: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. 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 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-04 level in the Federal service as described in the vacancy announcement. Examples of specialized experience include: Knowledge of, and skill in applying, comprehensive rules, regulations, techniques, and procedures sufficient to: Work with customers to resolve complaints, process orders, and provide information about an organization's products and services; Listen to customers' questions and concerns and provide answers or responses; Provide information about products and services; Review customer accounts and make changes, if necessary; Handle returns or complaints; Record details of customer contacts and actions taken; Refer customers to supervisors or more experienced employees. OR 4 years of education above the high school level NOTE: One year of fulltime academic study is defined as 30 semester hours, 45 quarter hours, or the equivalent in a college or university, or at least 20 hours of classroom instruction per week for approximately 36 weeks in a business, secretarial, or technical school. (TRANSCRIPTS REQUIRED) OR Combination of education and experience that when combined fully met the minimum qualifications for this position. GS-06 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-05 level in the Federal service as described in the vacancy announcement. Examples include: Knowledge of, and skill in applying, an extensive body of rules and procedures concerning benefits processing sufficient to clarify benefit processes and procedures to customers; conduct personal or telephone interviews; search records or guidelines; provide full explanations in response to specific inquiries relating to the agency; resolve problems and issues; evaluate the extent of customers' knowledge of the options and choices open to them; explain the requirements placed on them by laws and regulations; and review records and contact other offices to learn the status of pending actions, the reasons for delays or changes, and what action or additional information is required to resolve the case. GS-07 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-06 level in the Federal service as described in the vacancy announcement. Examples include: Knowledge of, and skill in applying, standardized rules, processes, and procedures concerning working with patients in a health care setting to resolve complaints, process paperwork associated with eligibility for health care. Knowledge must be sufficient to provide written and oral information to the public regarding eligibility requirements for health care benefit programs such as Medicare, Medicaid, Social Security Insurance, First Steps, and other similar resources to respond to inquiries from individuals as they relate to health services the medical facility can provide, solve problems or educate individuals about medical facility health programs and procedures. Ask questions to get a clear and accurate understanding of information sought by the public; and provide other support and assistance work in the office. 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 date of the announcement. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Per IHS policy (SGM 21-04) IHS selectees to positions located in Federally operated hospitals, health centers, and clinics must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions on how to submit your vaccination documentation or how to request a medical or religious exemption, if needed. Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. This position has promotion potential to the GS-07 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.