What are the responsibilities and job description for the Medical Reimbursement Technician position at U.S. Department of Veterans Affairs?
Summary
The employee serves as a Medical Reimbursement Technician within the Business Office in a position aligned under the Consolidated Patient Account Center (CPAC), Chief Operating Officer (COO). The Medical Reimbursement Technician is responsible for performing a broad range of duties for medical billings and reimbursable and non-reimbursable collections. Duty Locations: Orlando, FL, Lebanon, PA and Las Vegas, NV.
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Duties
Major duties and responsibilities include:
Work Schedule: Full Time, Monday-Friday, 8:00am to 4:30pm
Recruitment & Relocation Incentives: Not authorized
Critical Skills Incentive (CSI): Not Approved
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.
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Requirements
Conditions of Employment
To qualify at the GS-5 Grade level, you must meet one of the following:
SPECIALIZED EXPERIENCE GS-5: You must possess at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-4) in the Federal Service that has given you the knowledge, skills and abilities required to successfully perform the duties of a Medical Reimbursement Technician. Specialized experience includes following instructions about timeliness, objectives, and relative priorities for doing administrative work; communicating with other staff as necessary to discuss administrative concerns; reviewing and determining the appropriateness of administrative data. (Resume(s) must clearly demonstrate the experience to be creditable. We will not make assumptions regarding experience.)
OR
EDUCATION SUBSTITUTION GS-5: You must have 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. (You must submit a copy of your transcript with your application. Education cannot be credited without documentation.)
OR
COMBINATION OF SPECIALIZED EXPERIENCE AND EDUCATION GS-5: You must possess 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. (You must submit a copy of your transcript with your application. Education cannot be credited without documentation.)
To qualify at the GS-6 Grade level, you must meet the following:
SPECIALIZED EXPERIENCE GS-6: You must possess at least one (1) full year of specialized experience equivalent to the next lower grade level (GS-5) in Federal service that has equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled. Specialized experience includes following instructions about timeliness, objectives, and relative priorities for doing administrative work; communicating with other staff as necessary to discuss administrative concerns; reviewing and determining the appropriateness of administrative data; verifying claims for billing purposes ensuring eligibility and referring questionable coding for review and interprets insurance policies and requirements for billing. (Resume(s) must clearly demonstrate the experience to be creditable. We will not make assumptions regarding experience.)
You will be rated on the following Competencies as part of the assessment questionnaire for this position:
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 may require some physical effort such as periods of standing, walking or bending. There are no special physical demands.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.
Education
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
There is no educational substitution at the GS-6 grade level.
NOTE: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.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: Recognition of Foreign Qualifications | International Affairs Office (ed.gov).
Additional information
This job opportunity announcement may be used to fill additional vacancies.
Healthcare Personnel (HCP): This position is not considered Healthcare Personnel
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. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
VA NECPAC Lebanon 734
1700 South Lincoln Avenue
Lebanon, PA 17042
US
The employee serves as a Medical Reimbursement Technician within the Business Office in a position aligned under the Consolidated Patient Account Center (CPAC), Chief Operating Officer (COO). The Medical Reimbursement Technician is responsible for performing a broad range of duties for medical billings and reimbursable and non-reimbursable collections. Duty Locations: Orlando, FL, Lebanon, PA and Las Vegas, NV.
Learn more about this agency
Help
Duties
- *THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***
Major duties and responsibilities include:
- Validating claims for billing purposes ensuring eligibility and referring questionable coding for review.
- Submitting claims to third party health insurance carriers, with knowledge of Medicare coverage benefits.
- Interpreting third party insurance policies and requirements for billing.
- Taking responsibility for Medicare reimbursable billing activities.
- Following instructions about timeliness, objectives, and relative priorities for doing work.
- Handling conflicting goals, objectives, priorities, timelines, and deadlines.
- Exhibiting flexibility in adapting to changing demands within specific timelines.
- Accepting and completing work provided by a standardized control system such as batched work, caseload level, or other defined structure.
- Using a wide range of office software applications such as Microsoft Access, Excel, and Word.
- Composing correspondence on a situational basis.
- Processing billings using ICD-9-MC, CPT/4, and HCPCS codes timely.
- Performing other duties assigned as it relates to the position.
Work Schedule: Full Time, Monday-Friday, 8:00am to 4:30pm
Recruitment & Relocation Incentives: Not authorized
Critical Skills Incentive (CSI): Not Approved
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.
Help
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.
To qualify at the GS-5 Grade level, you must meet one of the following:
SPECIALIZED EXPERIENCE GS-5: You must possess at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-4) in the Federal Service that has given you the knowledge, skills and abilities required to successfully perform the duties of a Medical Reimbursement Technician. Specialized experience includes following instructions about timeliness, objectives, and relative priorities for doing administrative work; communicating with other staff as necessary to discuss administrative concerns; reviewing and determining the appropriateness of administrative data. (Resume(s) must clearly demonstrate the experience to be creditable. We will not make assumptions regarding experience.)
OR
EDUCATION SUBSTITUTION GS-5: You must have 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. (You must submit a copy of your transcript with your application. Education cannot be credited without documentation.)
OR
COMBINATION OF SPECIALIZED EXPERIENCE AND EDUCATION GS-5: You must possess 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. (You must submit a copy of your transcript with your application. Education cannot be credited without documentation.)
To qualify at the GS-6 Grade level, you must meet the following:
SPECIALIZED EXPERIENCE GS-6: You must possess at least one (1) full year of specialized experience equivalent to the next lower grade level (GS-5) in Federal service that has equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled. Specialized experience includes following instructions about timeliness, objectives, and relative priorities for doing administrative work; communicating with other staff as necessary to discuss administrative concerns; reviewing and determining the appropriateness of administrative data; verifying claims for billing purposes ensuring eligibility and referring questionable coding for review and interprets insurance policies and requirements for billing. (Resume(s) must clearly demonstrate the experience to be creditable. We will not make assumptions regarding experience.)
You will be rated on the following Competencies as part of the assessment questionnaire for this position:
- Customer Service (Clerical/Technical)
- Decision Making
- Manages and Organizes Information
- Self-Management
- 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 may require some physical effort such as periods of standing, walking or bending. There are no special physical demands.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.
Education
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
There is no educational substitution at the GS-6 grade level.
NOTE: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.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: Recognition of Foreign Qualifications | International Affairs Office (ed.gov).
Additional information
This job opportunity announcement may be used to fill additional vacancies.
Healthcare Personnel (HCP): This position is not considered Healthcare Personnel
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. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
Read more
- Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
VA NECPAC Lebanon 734
1700 South Lincoln Avenue
Lebanon, PA 17042
US
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