Medical Support Assistant (Patient Registration) Job

Vacancy No. IHS-26-HQ-13033477-ESEP/MP Department Indian Health Service
Salary $37,193.00 to $59,671.00 Grade 4 to 6
Perm/Temp Permanent FT/PT Full-time
Open Date 8/13/2026 Close Date 9/11/2026
Job Link Apply Online Who may apply Status Candidates
Locations:
Chinle, AZInscription House, AZKayenta, AZPinon, AZ
Red Mesa, AZTsaile, AZBloomfield, NMCrownpoint, NM
Shiprock, NM


Medical Support Assistant (Patient Registration)

Department of Health and Human Services
Indian Health Service
Various locations across the Navajo Region

Summary

Join the Indian Health Service as a Medical Support Assistant serving communities in the Navajo Area. The position provides patient registration and eligibility services, including processing demographic and insurance information for alternate resources, Purchase Referred Care, and private/commercial insurance within the Business Office.

A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

This job is open to

Federal employees - Competitive service

Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales.

Federal employees - Excepted service

Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria.

Career transition (CTAP, ICTAP, RPL)

Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants.

Land and base management

Current or former employees of a base management agency.

Veterans

Veterans of the U.S. Armed Forces or a spouse, widow, widower or parent of a veteran, who may be eligible for derived preference

Military spouses

Military spouses of active duty service members or whose spouse is 100 percent disabled or died on active duty.

National Guard and reserves

Current members, those who want to join or transitioning military members.

Individuals with disabilities

Individuals who are eligible under Schedule A.

Native Americans

Native Americans or Alaskan Natives with a tribal affiliation.

Clarification from the agency

The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3.

Duties

  • Interviews patients and/or family members to obtain and verify demographic, tribal eligibility, and insurance information and update health records.
  • Verifies patient eligibility and third-party coverage by contacting insurance providers and applicable federal and state agencies; identifies and refers potential eligibility cases as appropriate.
  • Enters and maintains patient information, assists with required forms, and obtains necessary documentation and signatures for alternate resources and Purchase Referred Care.
  • Oversees the patient admission, transfer, and discharge process by coordinating with physicians, nurses, patients, and other staff; completes required documentation, patient identification, admission and discharge forms, diagnoses, and coding.
  • Maintains and reconciles inpatient census and statistical reports, verifies patient movement and discharge information, researches discrepancies, and makes appropriate corrections.
Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Medical Support Assistant Total Compensation | Pay (ihs.gov)

All Grade levels may not be available at all locations.

Requirements

Conditions of employment

Selectee may be subject to a probationary 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.

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/.

Background Investigation Requirement:

This position requires the successful completion of a federal background investigation as a condition of employment.

A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.

Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.

Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.

Financial Suitability Requirement:

This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying.

Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS).

Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.

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 REQUIREMENT(S):
GS-04: Your resume must demonstrate at least one (1) year of general experience. General experience is progressively responsible clerical, office, or other work that indicates your ability to perform the work of this position at the GS-04 level.
OR
Two (2) years of education above the high school level. This education must have been obtained in an accredited business, secretarial, or technical school, junior college, college, or university.
OR
A combination of education and experience that, when combined, fully meet the minimum qualifications for the GS-04.


GS-05: 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: Assisted with patient registration, admission, discharge, and transfer duties by obtaining and verifying demographic, insurance, eligibility, and alternate resource information. Processed inpatient and day surgery admissions and discharges with guidance, completed required forms, verified admission types, obtained diagnoses, maintained patient census, and completed medical coding. Assisted with daily census by preparing forms, reviewing admissions and discharges, identifying observation stays, reconciling Admission and Discharge sheets, making corrections, and distributing reports to appropriate departments. Assisted with verifying coverage, Purchase Referred Care eligibility, billing discrepancies, and claim denials while maintaining accurate records in accordance with agency policies and procedures.
OR
Four (4) years of education above the high school level.
OR
A combination of education and experience that, when combined, fully meet the minimum qualifications for the GS-05.

GS-06: 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: Performed patient registration, admission, discharge, and transfer duties by obtaining and verifying demographic, insurance, eligibility, and alternate resource information. Analyzed and corrected discrepancies in the Patient Registration System to ensure accurate demographic and eligibility data and prevent errors in patient records and statistical reporting. Coordinated eligibility and alternate resource determinations, including insurance coverage, billing, collections, and Purchase Referred Care requirements. Researched claim denials and billing issues, identified causes, and implemented corrective actions. Applied current policies and regulations affecting eligibility, billing, and collections while supporting the operational priorities of the Business Office, Patient Registration, and Admissions programs.

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).

Education

This position has an education requirement. 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/.

Additional information

Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. (https://appsupport-usastaffing.opm.gov/hc/en-us/sections/45063131363475-Reasonable-Accommodation-Information)

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.
  • Recruitment or relocation incentives may be authorized. At least a 6 month service agreement will be required.

This position has promotion potential to the GS-GS-6 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.

You will be evaluated for this position in accordance with the OPM Merit Hiring Plan.
As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions.
  1. How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government?
  2. In this role, how would you use your skills and experience to improve government efficiency and effectiveness?
  3. How would you help advance the President's Executive Orders and policy priorities in this role?
  4. How has a strong work ethic contributed to your professional, academic or personal achievements?
  • Your responses are optional and will not be scored.
  • However, they may be reviewed by hiring managers and agency leadership (or designees) during the evaluation process.
  • You will be asked to certify that your responses are written in your own words and that you did not use a consultant or artificial intelligence (AI) tool (such as ChatGPT or Copilot).

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

This job announcement uses the USA Hire Assessment to evaluate applicants. There is no "pass/fail" outcome; results are used as part of the overall evaluation process to determine applicant qualifications. However, if you do not take the assessment within the assessment window timeframe you will be found ineligible for this position. For more information, visit the USA Hire Applicant Resource Center.

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position.

You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

  • Customer Service
  • Flexibility
  • Integrity/Honesty
  • Interpersonal Skills
  • Reading Comprehension
  • Reasoning
  • Self-Management
  • Teamwork

Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on an assessment may also result in your removal from consideration.

To preview the application questionnaire, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/13033477

Once the application process is complete, the first two pages of your resume and supporting documentation will be used to determine whether you meet the job qualifications.

All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of 09/11/2026, to be considered.

Required Documents

Resume: You are highly encouraged to visit the USAJOBS Help Center before submitting a resume. USAJOBS Help Center - Update your resume now so it meets new resume requirements

IHS Selectees whose duties and responsibilities require them to work permanently, temporarily, or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases, consistent with recommendations for healthcare workers. Vaccine exemption requests may be available, as outlined in the IHS Employee Immunization Policy and facility guidance.

Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements:

  • Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records. For detailed instructions, see form BIA-4432. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
  • Veterans Preference: If claiming Veteran's Preference provide a copy of your DD214 Form (Member 4 copy). To claim 10-Point Veterans Preference, submit a SF-15 Application (http://www.opm.gov/forms/pdf_fill/SF15.pdf) along with the appropriate supporting documentation. For additional information regarding Veterans Preference visit: http://www.fedshirevets.gov.
  • Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ctap_guideline.pdf.
  • Current or former Federal employee: Include your most recent SF-50 or if Reinstatement eligible include your Career SF-50.
  • Noncompetitive eligibles: Submit additional documents to prove your eligibility to apply to this vacancy.
  • Transcripts: You are encouraged to submit copies of transcripts (official or unofficial) although not required at the time of application. You must list your courses including titles, credit hours completed, and grades. Official transcripts will be required after tentative selection and prior to issuing an official job offer.
  • Licensure, Certifications: Applicants should list their license/certifications on their resume, along with the expiration date, if applicable. Certification of licensure/certification will be required after tentative selection and prior to issuing an official job offer.

You must meet the requirements of the job by 11:59 pm (Eastern Standard Time) of the closing date: 09/11/2026

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

How to Apply

Please read the entire announcement and all the instructions before you begin an application. To apply and be considered for this position, you must complete all required questionnaires, assessments and submit all required documentation as specified in the How to Apply and Required Documents section. The complete application package must be submitted by 11:59 PM (ET) on the closing date of the announcement to receive consideration. The application process is as follows:

  1. Click the Apply Online button.
  2. Answer the questions presented in the application and attach all necessary supporting documentation.
  3. Click the Submit Application button prior to 11:59 PM (ET) on the announcement closing date.
  4. If you are required to complete any USA Hire Assessments, you will be notified after submitting your application. The notification will be provided in your application submission screen and via email. The notification will include your unique assessment access link to the USA Hire system and the completion deadline. Additionally, in USAJOBS you can click "Track this application" to return to your assessment completion notice.
  5. Access USA Hire using your unique assessment link. Access is granted through your USAJOBS login credentials.
  6. Review all instructions prior to beginning your assessments. You will have the opportunity to request a testing accommodation before beginning the assessments should you have a disability covered under the Rehabilitation Act of 1973 as amended.
  7. Set aside about two (2) hours to take the USA Hire Assessments; however, most applicants complete the assessments in less time. If you need to stop the assessments and continue later, you can re-use your unique assessment link.
  8. Your responses to the USA Hire Assessments will be reused for one year (in most cases) from the date you complete an assessment. If future applications you submit require completion of the same assessments, your responses will be automatically reused.

Visit the USA Hire Applicant Resource Center for practice assessments and assessment preparation resources at https://support-usahire.opm.gov/hc/en-us.

To update your application, including supporting documentation: During the announcement open period, return to your USAJOBS account, find your application record, and click Edit my application. This option will no longer be available once the announcement has closed.

To view the announcement status or your application status: Visit https://www.usajobs.gov/Help/howto/application/status/. Your application status page is where you can view your application status, USA Hire assessment completion status, and review your notifications sent by the hiring agency regarding your application.

You may update your application documents and some questions related to your personal information at any time during the announcement open period. Upon application, you may be provided a testing window to complete additional assessments. This testing window may stipulate a completion deadline before the announcement closes. It is your responsibility to complete the additional online assessments within the timeline provided to remain in consideration for this vacancy announcement. Failure to complete the online assessments within the testing window for this announcement will not preclude you from being considered for and completing the online assessments during a testing window on a future announcement.

For additional questions please see our Frequently Asked Questions (FAQs) found here: https://www.ihs.gov/jobs/faq/.

Agency contact information

Dori Sombrero
Phone
928-697-4391
Email
dori.sombrero@ihs.gov
Address
Chinle Service Unit
PO Drawer PH
Chinle, AZ 86503
US

Next steps

Stay Updated with Text Alerts
You can choose to receive text message notifications about your application status. To enable this feature:
- Log in to your USAJOBS account.
- Go to your Account Settings and select Notification Preferences.
- Check the option to receive SMS/Text Messages.

Text message updates are optional and provided in addition to email notifications. Standard messaging rates may apply.

You can track the progress of your application package via your USAJOBS account. You will receive an acknowledgement from USAJOBS that your submission was successful once we have received your on-line eligibility questionnaire, resume, and any supporting documentation. You will be notified of the status of your application via your USAJOBS Account after we conduct a qualification review of your complete application package. You will be contacted if further evaluation or interviews are required. Any exaggeration of your experience, false statements, or attempt to conceal information may disqualify you for employment consideration. We may verify all information you provide in your resume and questionnaire responses, through reference and/or background check, and/or verification of your education. If you are selected, you will be contacted personally by the human resources office posting this announcement.

If all required documentation is not submitted with your application you will lose consideration. It is the applicant's responsibility to verify that information and documents entered, uploaded, or faxed are received, legible and accurate. HR will not modify answers submitted by an applicant.

Additional locations

Red Mesa, AZ
Few vacancies
Tsaile, AZ
Few vacancies
Bloomfield, NM
Few vacancies
Crownpoint, NM
Few vacancies
Shiprock, NM
Few vacancies

Indian Health Service

Become a part of an innovative, dynamic, nationwide organization of dedicated health care providers working to meet the individual health care needs of American Indians and Alaska Natives. Indian Health Service (IHS) employees are considerate in our care, creative in our approach, enthusiastic about our work and compassionate with our patients. Our lifestyle is adventurous, community oriented and focused on service and problem solving as part of a professional interdisciplinary team. Join us in improving the health outcomes of over 2 million American Indians and Alaska Natives.

Agency contact information

Dori Sombrero
Phone
928-697-4391
Email
dori.sombrero@ihs.gov
Address
Chinle Service Unit
PO Drawer PH
Chinle, AZ 86503
US

Visit our careers page

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http://www.ihs.gov