Director Revenue Cycle Jobs in Rio Rancho, NM (NOW HIRING)

Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply.
A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).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-5: 4 years of education above high school OR;
1 year of specialized experience equivalent to GS-4: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: - Providing customer service by assisting patients, clients, or staff in person or by telephone (e.g., answering questions, directing patients, responding to routine inquiries)- Collecting, reviewing, or entering basic information into paper or electronic systems (e.g., demographic data, appointment information, or service requests)- Maintaining files, records, or logs in accordance with established procedures (e.g., filing patient records, tracking forms, updating logs)- Following written instructions, policies, or procedures to complete routine tasks (e.g., adhering to privacy requirements, completing assigned clerical duties)
OR;
Combining Education and Experience: Equivalent combinations of successfully completed post-high school education and experience may be used to meet total experience requirements at grades GS-5 and below
GS-6: 1 year of specialized experience equivalent to at least GS-5. Examples of specialized experience for this grade level are identified by specialty below.
Purchased/Referred Care (PRC)
One year of specialized experience equivalent to at least the GS-5 level in the Federal service that demonstrates the ability to support Purchased/Referred Care (PRC) or referral management functions in an Indian Health Service, Tribal, or similar healthcare program, including experience in:- Assisting with processing referrals and authorizations for outside medical services (e.g., logging referrals, preparing documentation for review)- Reviewing forms and supporting documents for completeness and accuracy (e.g., verifying eligibility information or required signatures)- Entering and updating referral or patient information in electronic systems (e.g., RPMS, EHR, or tracking databases)- Communicating with clinical staff, patients, or external providers to obtain or relay routine information regarding referrals or services
Business Office
One year of specialized experience equivalent to at least the GS-5 level in the Federal service that demonstrates the ability to support healthcare business office or revenue cycle functions within an Indian Health Service, Tribal, or similar healthcare facility, including experience in:- Assisting with billing, claims processing, or payment-related activities (e.g., preparing claims, posting payments, or supporting accounts receivable functions)- Reviewing billing or financial documents for accuracy and completeness prior to processing- Entering billing or financial data into systems (e.g., RPMS Third Party Billing, EHR, or other billing software)- Responding to routine inquiries from patients, insurance companies, or third-party payers regarding billing or payment status.
Patient Registration
One year of specialized experience equivalent to at least the GS-5 level in the Federal service that demonstrates the ability to perform patient registration or front desk support in an Indian Health Service, Tribal, or similar healthcare setting, including experience in:- Collecting and verifying patient demographic, eligibility, or insurance information (e.g., updating patient records, confirming coverage)- Registering patients or updating information using electronic health record systems (e.g., RPMS or similar systems)- Greeting patients and providing instructions regarding forms, services, or clinic procedures- Maintaining confidentiality of patient information in accordance with Federal privacy requirements

Office Automation
One year of specialized experience equivalent to at least the GS-5 level in the Federal service that demonstrates the ability to perform office automation and administrative support duties within an Indian Health Service, Tribal, or similar organization, including experience in:- Using office automation software (e.g., Microsoft Word, Excel, Outlook) to prepare documents, spreadsheets, or correspondence- Entering data and maintaining electronic or paper filing systems (e.g., tracking logs, records management systems)- Preparing routine reports, forms, or correspondence based on established formats- Providing administrative support such as scheduling appointments, maintaining calendars, or tracking documents
Patient Care/Administrative
One year of specialized experience equivalent to at least the GS-5 level in the Federal service that demonstrates the ability to support patient care activities in an Indian Health Service, Tribal, or similar healthcare environment, including experience in:- Assisting with scheduling appointments or coordinating patient services (e.g., clinic visits, referrals, follow-ups)- Supporting clinical staff by preparing, organizing, or maintaining patient-related documentation- Communicating routine information to patients regarding appointments, services, or instructions- Following procedures to ensure patient privacy and proper handling of sensitive information (e.g., HIPAA compliance)

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 date of application. Education:There are no education requirements. However if you are substituting education for experience, 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/.Employment Type: OTHER