Medical Reimbursement Technician

Job Title

This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-06. At the GS-05 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-06. Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher-level work, and availability of funds.

** *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 include but are not limited to the following:

• 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.
• Performing other related duties assigned.

Work Schedule: Monday through Friday; 8:00am - 4:30pm. Recruitment Incentives: May be authorized. Critical Skills Incentive (CSI): Not approved.