Reimbursable Billing Technician

You may qualify based on your experience and/or education as described below: GS-6 Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-05 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Provides customer service to meets the needs of the customer. Provides patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence. Identifies, reviews, analyzes, process and completes co-payments and insurance encounters and other billing related activities. Independently reviews and processes all specialty billing encounters. Reviews, analyzes, researches, and verifies insurance policy coverage, filing time frames, COB information and certification requirements for secondary billing. GS-7 Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-06 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Provides customer service to meets the needs of the customer. Provides patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence. Initiates, gathers, and processes 3rd party revenue actions related to legal case activities by applying appropriate and relevant guidelines. Researches and recognizes data for dialysis billing to 3rd party insurance companies using a specified patient claims information system database. Conducts assigned ad hoc corrective projects, answers questions, and solves agency revenue account problems. Assists in synchronizing and the operationalization of all revenue activities. Accesses various menu options to identify, review, analyze, process and complete co-payments and insurance encounters and billing related activities. You will be rated on the following Competencies as part of the assessment questionnaire for this position: Customer Service (Clerical/Technical) Insurance Organizational Awareness 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 is performed mainly in a sedentary manner. Occasional walking, standing, reaching, and bending are required. The carrying of light items such as paper, folders, and files between desk and storage is common. The work requires long periods of interaction at computer terminals. 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/.
These positions are in a Veteran Affairs Medical Center (VAMC) facility aligned with a Consolidated Patient Account Center (CPAC) organizationally under the Chief Operating Officer (COO). The CPAC is a regionally consolidated business entity established to enhance revenue within Veterans Health Administration (VHA) using an industry best model built on regional management of key aspects of the revenue cycle, process standardization, accountability, and economies of scale.