Billing & Claims Specialist

The Indian Health Service; Pine Ridge (SD); On-site; USD 48,000 - 60,000; Full time

Job summary

The Indian Health Service at Pine Ridge Service Unit, Business Office, is seeking an Assist Billing Supervisor to oversee the preparation and submission of third-party claims using automated billing software. The role requires attention to detail in reviewing coding narratives, verifying billing data, and timely posting of payments or denials.

A REAL ID will be required from May 7, 2025 in accordance with federal regulations.

Qualifications

• GS-04 level: one year of general experience or two years of education beyond high school or combination meeting 100 percent requirement.
• GS-05 level: one year of specialized experience equivalent to GS-04 or four years of education beyond high school or combination meeting 100 percent requirement.
• GS-06/GS-07: higher levels of specialized experience including billing systems, AR, and denial correspondence.

Skills

Submittal of third-party claims

Review of billing narratives

Posting payments

Accounts receivable

Education

Two years of education above high school

Four years of education above high school

Job description

The Indian Health Service at Pine Ridge Service Unit, Business Office, is seeking an Assist Billing Supervisor to oversee the preparation and submission of third-party claims using automated billing software. The role requires attention to detail in reviewing coding narratives, verifying billing data, and timely posting of payments or denials.

A REAL ID will be required from May 7, 2025 in accordance with federal regulations.