Medical Reimbursement Technician

Job Title

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

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.

Duties include, but may not be limited to the following:

• Performs verification of patient insurance coverage.
• Obtains patient insurance information through automated databases, direct patient contact and contact with insurance companies.
• Verifies benefits, policy number, pre-certification requirements, and effective dates of coverage.
• Updates and maintains patient information in an electronic database.
• Generates monthly reports as required.
• 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.
• Tracks, reviews, and corrects denials.
• Obtains required information and coordinates completion of forms with patients, staff, and providers.
• Responds to patients' questions, explaining eligibility requirements, insurance provisions, and billing and payment procedures.
• Performs third party collection from insurance companies and accounts receivable functions.
• Verifies the accuracy of payments, resolves problems and discrepancies, and closes out accounts.
• Performs other related duties as required.

Work Schedule: Monday through Friday, 8:00am to 4:30pm

Recruitment & Relocation Incentives: Not authorized

Critical Skills Incentive (CSI): Not Approved

Telework: This position may be authorized for ad-hoc telework. Ad-hoc telework eligibility will be discussed during the interview process.

US Department of Veterans Affairs