Reimbursable Billing Technician

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/01/2024. Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. The grade may have been in any occupation, but must have been held in the Federal service. A SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. For a GS-6 position, you must have served 52 weeks at the GS-5 level. For a GS-7 position, you must have served 52 weeks at the GS-6 level. 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: 1) Provides customer service while determining the most appropriate actions to take for the customer. 2) Provides assistance to a diverse customer base utilizing telephone, face to face, electronic or written correspondence. 3) Processes co-payments, insurance encounters and other billing related activities. 4) Processes various revenue reports. 5) Verifies insurance policy coverage for insurance billing associated with care. 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: 1) Provides customer service while determining the most appropriate actions to take for the customer. 2) Provides assistance to a diverse customer base utilizing telephone, face to face, electronic or written correspondence. 3) Processes co-payments, insurance encounters and other billing related activities. 4) Processes various revenue reports. 5) Verifies insurance policy coverage for insurance billing associated with care. 6) Collaborates with services and other staff to ensure customer accounts needing corrective action are addressed. 7) Prepares complex specialty-specific 3rd party billing transactions. You will be rated on the following Competencies for this position: Customer Service (Clerical/Technical) Insurance Organizational Awareness Technical Competence 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; religions; 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. Note: A full year of work is considered to be 35-40 hours of work per week. 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. As a general rule, education is not creditable above GS-5 for most positions covered by this standard; however, graduate education may be credited in those few instances where the graduate education is directly related to the work of the position. 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/.
The position is in the Veterans Health Administration (VHA) Office of Finances Revenue Operations and aligned with a Consolidated Patient Account Center (CPAC). Through the VHA Chief Financial Officer (CFO), VHAs Office of Finance serves in a mission critical role as the principal financial advisor to the Under Secretary for Health (USH).