Bueroang. (Finanzwesen) Landstuhl, Germany Ausschreibungsbereich WHO MAY APPLY: Current INTERNAL Local National Employees throughout Germany. This covers all current Local National employees of the U.S. Forces in Germany, including U.S. Air Force and AAFES-Europe within Germany. and EXTERNAL Local National applicants who reside in Germany. Hauptaufgaben Serves as Accounting Technician for the Regional Health Command Europe supporting all medical billing functions for Landstuhl Regional Medical Center (LRMC) and BAVARIA MTFs and all Army clinics throughout Europe. Duties include serving as a point of contact for medical accounting representatives for insurance companies and other Federal agencies; reviewing, analyzing and reconciling insurance and medical data; establishing and monitoring accounts receivable, and billing and collecting reimbursements for medical services for the hospital and clinics. Independently operates, manages transactions, and analyzes reports from a variety of billing and accounting systems, Actively performs research of current accounts, historical data, source documents, etc. 1. Reviews Insurance Claims Forms to ensure that documents are complete and accurate in accordance will all governing laws, regulations, and policies. Reviews demographic and insurance information to analyze medical records to correct claim errors in ABACUS and enable timely/accurate reimbursement. When payment and remittance advice (RA)/explanation of benefits (EOB) are received from the insurance companies, the incumbent reviews and analyzes information against account data to determine whether the account was appropriately paid by the insurance companies. Corrects and resubmits claims to insurance companies; provides additional information when requested. Determines whether other deviations or problems exist with the account and independently identifies and implements correction action. Bills secondary insurance or patient for residual balances (balance billing). Posts payments from insurance companies, individuals, other Federal Agencies, and other entities in ABACUS. Verifies reconciliation documentation and updates check register to ensure accuracy of statements of accountability. Provides audit documentation showing initiation of accounts receivable, payments expected and received, overpayments returned, and outstanding accounts receivable. Develops worksheets to identify and track source transactions and processing cycles utilizing computer software and manual records. Adjusts entries and isolates discrepancies and errors in accounts. Develops and changes forms and/or workflow procedures to prevent recurrences of errors. 2. Determines the eligibility of delinquent medical services accounts ready for transfer to the appropriate agency, DFAS and U.S. Treasury for collections by researching data in multiple automated systems and applying current knowledge of guidelines from higher headquarters, DOD regulations and guidance on MSA billing and collection. Researches collections disputed by patients and finds resolutions in accordance with public law, DOD regulation and guidance and Medical Command guidelines. Generates management reports available from the Treasury to perform the reconciliation of returned, paid, settled, compromised, and disputed accounts. Reviews the aging inpatient and outpatient accounts receivable. Each account (claim) on the schedule is reviewed individually, ensuring that all accounts are being monitored and followed. Ensures that all conversations and status updates are documented involving the status of the account. Coordinates with the patient to fill out required insurance forms as needed in order to complete the claim process. 3. Prepares check deposits utilizing the US Treasury's OTC-net system. Retrieves deposit information for credit card, Electronic Financial Transactions (EFT), and Automated Clearing House (ACH) payments through the US Treasury's Pay.gov and Collections Information Repository (CIR) systems. Prepares DD Form 1131 Cash Collection Voucher (CCV) in ABACUS and reconciles with accounts to be posted. Enters information into the General Fund Enterprise Business Solution (GFEBS) and the Automated Disbursing System (ADS) for reconciliation and distribution of all funds received. Monitors the flow of data to ensure all deposits have cleared ADS and processed through GFEBS. Completes GFEBS transactions on all appropriate debt packages and updates GFEBS. Routinely corresponds with US Army Medical Command (MEDCOM) Accounts Receivables, Defense Finance and Accounting Services (DFAS), and RHCE Budget Office to resolve errors and for additional guidance on accounting processes. 4. Researches and resolves cases where there is a discrepancy between the amount received from the insurance companies and the amount the government billed. If the amount is incorrect for any reason, then the entire check (and all accounts relating to the one check will be held until the issue is resolved (i.e., refund, overpayment, nonpayment, etc.). Initiates procedures relating to refunds and transfers from the DFAS office. Establishes and maintains a number of different subsidiary accounts to provide control and financial accountability by subprogram and type of account. 5. Work with the US Army Claims Service, Europe Office of the Command Judge Advocate to process Medical Affirmative Claims (MAC) by supporting them with the necessary documentation based on individual visits. This involves in depth knowledge of medical terminology, medical coding and necessity based on the visits. Using information from research, manually create claims to support the case. 6. Maintains account data in automated database and utilizes other software for correspondence and record tracking. Enters and extracts data for reports needed by supervisor or management officials of RHCE or MEDCOM. Enters corrections to accounts in the automated systems and performs other account correction processes required. Prepares monthly and quarterly reports for submission to Supervisor and HQ Medical Command (MEDCOM) indicating number of patients treated, amount of money owed RHCE, number of closed accounts, and the amount of money collected and adjusted/written off. Gathers and compiles financial data. Communicates orally and in writing to patients and representatives of Federal, State, City, and private Third Party carriers in order to process insurance claims and receive payments for services rendered in a timely manner. Performs other duties as assigned. Qualifikationsanforderungen Description of the Education & Training Levels: https://portal.chra.army.mil/mnrs?sys_id=0a86e971cd2d2d10aaffb5ebb50f5ac9&view=sp&id=mnrs_kb_article&table=kb_knowledge E&T Level I: 2 years of creditable experience as defined in A below PLUS 2 years of experience as defined in B below. Current employees who do not meet E&T Level I and who are not in the same or similar occupation must have 2 additional years of creditable experience as described in A below. E&T Level II: 1 years of creditable experience as defined in A below PLUS 2 years of experience as defined in B below. E&T Level III: 1 year of experience as defined in B below. E&T Level IV: No additional experience required. Current employees who have served one year in the same or similar occupation are qualified for the next higher grade. Experience A: Included clerical work in an office or store, working with computers, bookkeeping, making and recording inventories, telephone marketing, arranging for events or as a cashier, etc. Experience B: Experience in the same or similar line of work as the job for which considered. The experience must demonstrate that the applicant possesses the particular knowledge, skills and abilities required in the position. The predominant experience must have been gained at a comparable level of difficulty to the position to be filled. The amount of the higher level experience must be in a reasonable relation to the required total number of years. Auswahlkriterien auswählen General Information for LN Job Announcements - please read: https://portal.chra.army.mil/mnrs?sys_id=77e3ac4a5ce32110924578e08ba9227c&view=sp&id=mnrs_kb_article&table=kb_knowledge * English Language Proficiency Level C1 required. You may test yourself for free at one of the various online providers, who offer tests under the 'Common European Framework of Reference for Languages' (CEFR). C1 = Understand a wide range of longer and more demanding texts or conversations. Express ideas without too much searching. Effectively use the language for social, academic, or professional situations. Create well-structured and detailed texts on complex topics * Experience with the use of common software and computer systems, carrying out routine office work is required. * Knowledge of Basic Medical Terminology desired (not required). * Knowledge of Medical Terminology desired (not required). Beschäftigungsbedingungen This is a temporary full-time position, 38.5 hrs./week, until return of regular incumbent, not to exceed 3 years. It is highly recommended that all employees who provide work in military treatment facilities in Germany be immunized against seasonal influenza infection each year or as often as recommended. The immunization will be provided at no cost to the employee. * Knowledge of Basic Medical Terminology desired. THIS CONCERNS ALL EXTERNAL APPLICANTS: * Generally, you must have been a resident in Germany for at least 12 months. Non-US citizen family members and German citizens are exempt from this requirement. * Your permanent residence must be within Germany. * Police Good Conduct Certificate (Polizeiliches Führungszeugnis): On initial appointment, or re-appointment after a break in service, candidates who have been selected for a position must present a police good-conduct certificate prior to appointment to the position. The applicant must obtain the certificate from the local resident registration office. The cost for the certificate is not reimbursable. Non-U.S. citizen family members, except German citizens are exempt from this requirement. * Upon appointment with the U.S. Forces it is required to present two valid picture identifications to get access to the computer systems. Recognized documents are only: Personal ID (Personalausweis), Personal Travel Identification (Reisepass) and the European Union (EU) Driver's License (plastic card format). We recommend ensuring at the time of application that at least two of these documents are available or requested. * Foreign National Screening (Sicherheitsüberprüfung): In accordance with U.S. Army Europe Regulation 604-1, within three days after appointment, a background check will be initiated to determine suitability for continued employment with the U. S. Forces in Germany. If results are unacceptable, employment will be terminated during the probationary period, or any time thereafter, if the background checks reveal that the employee constitutes a security risk. * Foreign education may be accredited, please refer to the following websites for additional information: www.anabin.kmk.org or www.anerkennung-in-deutschland.de