Medical Reimbursement Technician

1 week ago

Middleton, United States US Veterans Health Administration Full time

**Duties**:
**THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION**
Duties will include, but are not limited to the following:

- Performs verification of patient insurance coverage.
- Obtains patient insurance information through automated databases, direct patient contacts and contact with insurance companies.
- Verifies benefits, policy number, pre-certification requirements, and effective dates of coverage.
- Accepts and completes work provided by a standardized control system such as batched work, caseload level or other defined structure.
- Responsible for Medicare reimbursable billing activities.
- 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.
- Follows instructions about timeliness, objectives and relative priorities for doing work.
- Exercises sound judgment to determine the appropriateness of data and information provided on a claim.
- Effectively communicates with other staff as necessary to discuss billing and insurance discrepancies..
- Follows instructions about timeliness, objectives and relative priorities for doing work.
- Performs other related duties as required.

**Work Schedule: Monday-Friday, 8:00am-4:30pm**
**Recruitment & Relocation Incentives**: Not authorized

**Recruitment Incentive: Authorized - $3,000 Recruitment Incentive available for highly qualified applicants with an 18-month service agreement.**

**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

**Requirements**:
**Conditions of Employment**:

- 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**:

- 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.
- **Specialized Experience (GS-5)**:At least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-4) that has given you the knowledge, skills and abilities required to successfully perform the duties of a Medical Reimbursement Technician. Specialized experience includes follows instructions about timeliness, objectives, and relative priorities for doing administrative work; communicates with other staff as necessary to discuss administrative concerns; and reviews and determine the appropriateness of administrative data.
- OR
- **Education**: Successfully completed four (4) years of education above the high school level in any field which high school graduation or the equivalent is the normal prerequisite. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. One year of full-time academic study is defined as 30 semester hours, 45 quarter hours, or the equivalent in a college or university, or at least 20 hours of classroom instruction per week for approximately 36 weeks in a business, secretarial, or technical school.- **OR**
**Combination**:Equivalent combinations of successfully completed post-high school education (beyond the second year) and specialized experience, as described above, which meet the total experience requirements for this grade level. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university.- **Specialized Experience: (GS-6)** At least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-5) that has given you the knowledge, skills and abilities required to successfully perform the duties of a Medical Reimbursement Technician. Specialized experience includ

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