Medical Reimbursement Technician

Job Title

Medical Reimbursement Technician

Duties

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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, timelines, and deadlines.
• Exhibit flexibility in adapting to changing demands within specific timelines.
• 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.
• 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, 08:00am-04:30pm Compressed/Flexible: May be discussed to meet the needs of the agency Telework: This position is not eligible for telework Virtual: This is not a virtual position Position Description/PD#: Medical Reimbursement Technician/PD36017A, 36108A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized