Reimbursable Billing Technician

1 month ago

Palo Alto, California, United States Veterans Affairs, Veterans Health Administration Full time


Summary This position is located within the Consolidated Patient Account Center (CPAC) of the VA Medical Center in Palo Alto, CA, serving as a primary on-station contact for Veterans and Veteran stakeholders for billing and revenue related questions and research within the Veterans Health Administration (VHA).

Responsibilities
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. Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job Selective Service Registration is required for males born after 12/31/1959 You may be required to serve a probationary period Subject to background/security investigation Selected applicants will be required to complete an online onboarding process Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)


Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications To qualify for this position at the GS-06 grade level, you must have:

At least one (1) year of specialized experience equivalent to the next lower grade level (GS-05) in Federal Service, that has equipped you with the particular knowledge, skills, and abilities to successfully perform the duties and that is typically in or related to the work of this position.

Specialized experience includes providing accurate and timely billing and collection activities to be completed in accordance within prescribed policies, regulations and laws; performs analysis of complex problems by gathering and collecting the necessary information, establishes facts, and takes or recommends actions based upon the application or interpretation of established guidelines.

To qualify for tis position at the GS-07 grade level, you must have: At least one (1) year of specialized experience equivalent to the next lower grade level (GS-06) in Federal Service, that has equipped you with the particular knowledge, skills, and abilities to successfully perform the duties and that is typically in or related to the work of this position? Specialized experience includes independently providing accurate and timely billing and collection activities to be completed in accordance within prescribed policies, regulations and laws; performs analysis of complex problems by gathering and collecting the necessary information, establishes facts, and takes or recommends actions based upon the application or interpretation of established guidelines, uses independent judgment to best assist patients/customers to come to a resolution regarding their patient/customer billing, eligibility, insurance and care and/or services provided.

You will be rated on the following Competencies as part of the assessment questionnaire for this position:
Customer Service (Clerical/Technical) Insurance Organizational Awareness Technical Competence

IMPORTANT:
A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. Part-time experience will be credited on the basis of time actually spent in appropriate activities.

Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.

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; student; social).

Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.

You will receive credit for all qualifying experience, including volunteer experience.

Physical Requirements:
The work is performed mainly in a sedentary manner. Occasional walking, standing, reaching, and bending are required. The carrying of light items such as paper, folders, and files between desk and storage is common. The work requires long periods of interaction at computer terminals.

For more information on these qualification standards, please visit the United States Office of Personnel Management's website at Education There is no education substitution at this grade level.

Additional Information This job opportunity announcement may be used to fill additional vacancies.

Pursuant to VHA Directive , VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy).

VHA HCPs do not include remote workers who only infrequently enter VHA locations.

If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date.

The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer (TJO).

Please visit the Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP), for more information.

  • Reimbursable Billing Technician

    1 month ago

    Palo Alto, California, 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 LOCATIONThis 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...

  • Ultrasound Technician

    2 weeks ago

    Palo Alto, California, United States Lucile Packard Children's Hospital Full time

    Department of RadiologyPosition Type: Part-Time, Day ShiftAt Lucile Packard Children's Hospital, we believe that exceptional healthcare is rooted in compassionate service. Our commitment to integrating cutting-edge technology with family-focused care is at the heart of our mission. We are dedicated to fostering an environment where our staff can thrive...

  • Ultrasound Technician

    2 weeks ago

    Palo Alto, California, United States Lucile Packard Children's Hospital Full time

    Department of Radiology 0.001 FTE, 8 Hour Day ShiftAt Lucile Packard Children's Hospital, we believe that exceptional healthcare is rooted in compassionate service. Our commitment to combining cutting-edge technology with a nurturing environment is what sets us apart. We are dedicated to providing our team with ongoing training and access to state-of-the-art...

  • Ultrasound Technician

    2 weeks ago

    Palo Alto, California, United States Lucile Packard Children's Hospital Full time

    Department: Radiology Position: 0.001 FTE, 8 Hour Day ShiftAt Lucile Packard Children's Hospital, we believe that exceptional care is rooted in compassion. Our commitment to combining cutting-edge technology with family-focused service sets us apart. We are dedicated to providing our staff with ongoing training and access to state-of-the-art facilities. Join...

  • Travel Anesthesia Technician

    3 days ago

    Palo Alto, California, United States LRS Healthcare - Cardiopulmonary Full time

    Job SummaryLRS Healthcare - Cardiopulmonary is seeking a skilled Anesthesia Technician to join their team on a travel assignment in a leading healthcare facility.Key ResponsibilitiesAssist anesthesiologists and other medical professionals in preparing patients for surgeryOperate and maintain anesthesia equipment, ensuring proper function and safetyMonitor...

  • Plant Operations Technician

    2 weeks ago

    Palo Alto, California, United States Clean Harbors Full time

    Position Overview:The Plant Operations Technician plays a crucial role in managing and executing various operational tasks within a refinery setting. This position involves monitoring and regulating refining and processing machinery to guarantee safe, efficient, and dependable operations.Compensation:Union Wage - $37.32/hrWhy Choose Clean Harbors?At Clean...

  • Obstetric Ultrasound Technician

    2 weeks ago

    Palo Alto, California, United States Lucile Packard Children's Hospital Full time

    Department of Radiology 0.8 FTE, 8 Hour Day ShiftAt Lucile Packard Children's Hospital, we believe that exceptional care is rooted in compassion. Our commitment to integrating cutting-edge technology with a family-oriented approach is paramount. We strive to equip our staff with ongoing training and access to state-of-the-art facilities. Join our dedicated...

  • Anesthesia Support Specialist

    2 weeks ago

    Palo Alto, California, United States Stanford Health Care Full time

    Position OverviewThe Anesthesia Technician plays a crucial role in supporting the Department of Anesthesia by ensuring the availability and functionality of necessary equipment and supplies.Key ResponsibilitiesThe technician's duties encompass a range of activities aimed at facilitating safe and efficient anesthetic care:Ensure compliance with all relevant...

  • Senior Claims Auditor

    2 weeks ago

    Palo Alto, California, United States Machinify, Inc. Full time

    Machinify, Inc. is an innovative healthcare technology firm dedicated to ensuring that patients receive optimal medical care, precisely when they need it, and at a fair cost. Our advanced cloud-based Machinify AI platform harnesses cutting-edge machine learning, extensive data analytics, and cloud computing to address complex challenges, revolutionizing...

  • Senior Medical Claims Auditor

    2 weeks ago

    Palo Alto, California, United States Machinify Full time

    Position OverviewMachinify, a pioneering healthcare technology firm, is dedicated to ensuring that patients receive optimal medical care at the appropriate time and cost. Our innovative cloud-based AI platform harnesses cutting-edge advancements in machine learning, data analytics, and cloud computing to address complex challenges in healthcare...

  • Pediatric Emergency Room Travel Nurse

    2 weeks ago

    Palo Alto, California, United States Medical Solutions Full time

    Position OverviewMedical Solutions is in search of a travel nurse RN specializing in Pediatrics ER - Emergency Room for a travel nursing opportunity.Job SpecificationsSpecialty: Pediatrics ER - Emergency RoomDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, nightsEmployment Type: TravelWe are looking for skilled healthcare...

  • Pediatric Emergency Room Travel Nurse

    1 week ago

    Palo Alto, California, United States Medical Solutions Full time

    Position OverviewMedical Solutions is in search of a travel nurse RN specializing in Pediatrics ER - Emergency Room for a travel nursing role.Job DetailsSpecialty: Pediatrics ER - Emergency RoomDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, nightsEmployment Type: TravelWe are looking for skilled healthcare professionals who are...

  • Legal Administrative Assistant

    1 week ago

    Palo Alto, California, United States AGG Legal Staffing Full time

    A legal administrative assistant plays a crucial role in supporting attorneys and legal teams by managing various office tasks and ensuring smooth operational workflows. This position requires adherence to the firm's established policies and procedures while fostering positive relationships with colleagues, clients, and external partners.Key...

  • Neonatal Intensive Care Travel Nurse

    1 week ago

    Palo Alto, California, United States Medical Solutions Full time

    Medical Solutions is actively seeking a travel nurse RN specializing in Neonatal Intensive Care for an exciting opportunity.Position Overview & RequirementsSpecialty: NICU - Neonatal Intensive CareDiscipline: RNDuration: 13 weeksWeekly Hours: 36 hoursShift: 12 hours, nightsEmployment Type: Travel We are in search of skilled healthcare professionals who are...

  • Financial Research Coordinator

    12 hours ago

    Palo Alto, California, United States InsideHigherEd Full time

    Job SummaryInsideHigherEd is seeking a highly skilled Financial Research Administrator to join our team. As a key member of our Sponsored Programs and Research department, you will be responsible for overseeing the financial administration of grants and contracts from budget setup through award closeout, ensuring compliance with all Federal, State,...

  • Senior Optical Systems Development Engineer

    1 day ago

    Palo Alto, California, United States PsiQuantum Full time

    About the RolePsiQuantum is a pioneering company in the field of quantum computing, aiming to build the world's first fault-tolerant quantum computer. We are seeking a highly skilled Senior Optical Systems Development Engineer to join our System Build and Validation Team.Key ResponsibilitiesDesign and develop high-performance fiber optic subsystem...

  • Hardware Design Engineer

    1 day ago

    Palo Alto, California, United States Actalent Full time

    Job SummaryWe are seeking a highly skilled Hardware Design Engineer to join our team at Actalent. As a key member of our engineering team, you will be responsible for designing and developing test equipment and infrastructure to support R&D activities for products.Key ResponsibilitiesDesign and develop test equipment and infrastructure to support R&D...

  • Anesthesia Support Specialist

    2 weeks ago

    Palo Alto, California, United States Lucile Packard Children's Hospital Full time

    Lucile Packard Children's Hospital Position Type: 0.9 FTE, 8 Hour Rotating Shift At Lucile Packard Children's Hospital, we believe that exceptional care is rooted in compassion and innovation. Our commitment to providing state-of-the-art medical services is matched only by our dedication to nurturing the well-being of our patients and their families. ...

  • Pediatric Emergency Room Travel Nurse

    1 week ago

    Palo Alto, California, United States Medical Solutions Full time

    Join Medical Solutions as a Travel Nurse RN in Pediatrics ERWe are currently seeking a skilled travel nurse specializing in Pediatrics ER - Emergency Room for an exciting opportunity.Position Details:Specialty: Pediatrics ER - Emergency RoomDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, flexible days and nightsEmployment Type:...

  • Pediatric Emergency Room Travel Nurse

    1 week ago

    Palo Alto, California, United States Medical Solutions Full time

    Position OverviewMedical Solutions is actively seeking a travel nurse RN specializing in Pediatrics ER - Emergency Room for an exciting opportunity.Job DetailsSpecialty: Pediatrics ER - Emergency RoomDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, nightsEmployment Type: TravelWe are looking for skilled healthcare professionals who...