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Reimbursable Billing Technician
3 months ago
***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***
This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-07. At the GS-06 grade level, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-07. Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher-level work, and availability of funds.
Major duties and responsibilities include:
Cooperates with personnel within other organizational units in the wider employing organization (e.g., insurance verification, revenue utilization review, medical and prescription billing, Veteran services, denials management, outpatient pharmacy electronic claims, and/or accounts management) to solve revenue problems
Performs 1st and 3rd party billing activity for Non-Medical Care Collections Fund (Non-MCCF)
Determines whether a release of information (ROI) is needed and how to correctly document ROIs for billing purposes
Obtains data and other information from VA-specific change notifications and ad-hoc reports to proactively or retroactively correct 1st and 3rd party billing
Performs daily reviews, audits, and/or corrective actions in response to workload activities or requests received directly from Veteran customers, OGC, internal/external compliance and quality measurement and performance teams, and the VA Office of the Inspector General (OIG)
Documents account status updates, transactions, decisions, and other actions for facility revenue billing and payment activities
Reviews outpatient encounters, inpatient admissions and discharges, long-term care visits, etc. to gain requisite data necessary for 3rd party billing preparation
Validates and maintains National Provider Identifier (NPI) information from the National Plan and Provider Enumeration System (NPPES) for care providers within the VAMC
Provides accurate and proficient guidance to all customer groups regarding debt relief options such as formal repayment plans and waivers
Interprets insurance policy coverages, VA eligibility benefits, and other factors that impact Veteran financial accounts for both 1st and 3rd Party billing
Performs all other duties as assigned
Work Schedule:
Monday through Friday, 8:00am to 4:30pm
Recruitment & Relocation Incentives:
Not authorized
Telework:
VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.
