Medical Reimbursement Technician

Medical Reimbursement Technician

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***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***

• Validate claims for billing purposes ensuring eligibility and referring questionable coding for review.
• Submit claims to 3rd party health Insurance Carriers, with knowledge of Medicare coverage benefits.
• Interprets third party insurance policies and requirements for billing.
• Take responsibility for Medicare reimbursable billing activities.
• Follow instructions about timeliness, objectives, and relative priorities for doing work.
• Handle conflicting goals, objectives, priorities, time-lines, and deadlines.
• Exhibit flexibility in adapting to changing demands within specific time lines.
• Accept and completes work provided by a standardized control system such as batched work, caseload level, or other defined structure.
• Use a wide range of office software applications such as Microsoft Access, Excel, and Word.
• Compose correspondence on a situational basis.
• Process billings using ICD-10-MC, CPT/4, and HCPCS codes timely.
• Performs other related duties as assigned.

Promotion Potential:

The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Work Schedule:

Monday-Friday 8:00am-4:30 pm

Compressed/Flexible:

May be discussed to meet the needs of the agency.

Position Description/PD#: Medical Reimbursement Technician/ PD36017A, PD36018A, and PD36017A

Relocation/Recruitment Incentives:

Not Authorized

Critical Skills Incentive (CSI):

Not Approved

Permanent Change of Station (PCS):

Not Authorized

Virtual: This position may be authorized for Virtual Work. Virtual Work eligibility is for current VA employees that are already subject to the return to the in-person work mandate in their current position.

Definition of Virtual Work: Employee works outside of original hiring duty station at a VA-owned or leased space.

Return to Office (RTO): RTO mandates are in effect and selectees will be required to report to in-person work unless they are approved for an exception or an exemption. Any approval for an RTO exception, exemption, or extension will happen after a tentative job offer, but before a final job offer.

US Department of Veterans Affairs