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Medical Reimbursement Technician

4 months ago


Orlando, Florida, United States Veterans Health Administration Full time

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-6. At the GS-5 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-6.

Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher-level work, and availability of funds.

Duties include, but may not be limited to the following:
Performs verification of patient insurance coverage.
Obtains patient insurance information through automated databases, direct patient contact and contact with insurance companies.
Verifies benefits, policy number, pre-certification requirements, and effective dates of coverage.
Updates and maintains patient information in an electronic database.
Generates monthly reports as required.
Ensures that all billable cases are identified and that bills are accurately generated.
Validates claims for billing purposes, ensuring eligibility, and referring questionable coding for review.
Tracks, reviews, and corrects denials.
Obtains required information and coordinates completion of forms with patients, staff, and providers.
Responds to patients' questions, explaining eligibility requirements, insurance provisions, and billing and payment procedures.
Performs third party collection from insurance companies and accounts receivable functions.
Verifies the accuracy of payments, resolves problems and discrepancies, and closes out accounts.
Performs other related duties as required.

Work Schedule:
Monday - Friday, 8:00am - 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.

Financial Disclosure Report:
Not Required