Supervisory Health System Specialist (Benefits Coordinator)

This Supervisory Health System Specialist (Benefits Coordinator) position is with Indian Health Service (Department of Health and Human Services) in Phoenix, AZ. This position is located in Patient Business at Phoenix Indian Medical Center, Phoenix, Arizona. The primary function of this position is to assure the identification of patients eligibility for resources; perform a variety of management analysis that involve the application of qualitative and quantitative methods for evaluation of internal Patient Registration Benefit Coordinator operations. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Key duties: • Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Health System Specialist Total Compensation | Pay (ihs.gov) Performs long and short range planning, evaluating and analysis; and projection of future resource requirements. Reviews and monitor workloads. Establishes and maintains production control; and assures that internal reports are maintained for use in evaluating quantity and quality of employee production. Trains, develops, and orientates subordinates; and interprets regulations, requirements, and procedures. Incumbent provides explanation on the inter-relationship of the various factors of the Patient Business and Benefit Coordinator activities. Establishes and maintains production control; and assures that internal reports are maintained for use in evaluating quantity and quality of employee production. Incumbent maintains records of work accomplishments and time expended, preparing workload and production reports as required. Performs a variety of Benefit Coordinator functions such as: providing leadership and serving as an advocate for Indian patients in the effective utilization of alternate resources such as Medicare (CMS), Medicaid, Department Veterans Affairs (DVA), Bureau of Employment Compensation (BEC), Third Party Liability, Children's Special Health Services, Aid to Families with Dependent Children (AFDC), Affordable Care Act (ACA), etc. Applies extreme discretion when considering possible entitlement to available programs; in determining the most advantageous way of processing the action of enrolling eligible clients; or making further research to entitlement to all reimbursement activities. 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. Basic Requirements Individual Occupational Requirements General Schedule Qualification Standards: Health System Administration Series 0671 Education: Undergraduate and Graduate Education: Major study -- hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration; OR Specialized Experience (for positions above GS-5) - Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following; Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. Special Provision for In-service Placement: Successful complete of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program. In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS, GS-0671-11: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-09 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Analyzing third party collections; developing projection analysis for current and future fiscal year collections; developing and implementing a comprehensive internal quality control system; ensuring compliance with Third Party Revenue Accounts Management and Internal Controls; long and short range planning, evaluation and analysis; establishing and implementing performance improvement goals for areas of Preferred Business Office including but not limited to patient registration, benefits coordination, billing practices, and third party accounts receivable and collections. Ability to apply analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of program operations carried out by personnel or substantive administrative support functions. OR Completed a Ph.D. or equivalent doctoral degree or 3 full years (54 semester hours) of progressively higher-level graduate education leading to such a degree, such education must demonstrate the knowledge, skills, and abilities necessary to do the work or LL.M., if related; OR Combination of the specialized experience and education as described above. To determine if you qualify under this combination first divide your total months of qualifying experience by 12. Then divide your semester hours of graduate education beyond 2 years by 18. (Note: Only education in excess of the second year is creditable toward meeting the experience requirement when combining experience and education.) Finally, add the two percentages. The total percentage must equal at least 100 percent to qualify. Note: You must provide copies of your graduate transcripts. 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. View the full announcement and apply on USAJOBS.gov.