Health Insurance Technician (Uniform Business Office) https://www.usajobs.gov/job/886080400

Walter Reed National Military Medical Center; Bethesda (MD); On-site; USD 42,000 - 62,000; Full time

Job summary

Walter Reed National Military Medical Center in Bethesda, MD, seeks a Health Insurance Technician (Uniform Business Office) for a full-time, on-site role. You will review, verify, and process health insurance claims, coordinating with staff to collect necessary information and ensure compliant, accurate billing and reimbursement.

The position requires foundational medical knowledge and at least one year of insurance billing experience, with familiarity of automated systems such as Genesis and

Qualifications

• Foundational knowledge of medicine or medical terminology.
• At least one year of specialized experience with insurance billing or payments.
• Experience with automated healthcare/financial systems such as Genesis, Revenue Cycle, ARMS.

Responsibilities

• Review, verify, and process health insurance claims and related documentation.
• Coordinate with clinical and administrative staff to obtain medical/demographic information.
• Apply appropriate insurance policies and regulations to ensure accurate billing and reimbursement.
• Post and reconcile insurance payments and support billing system operations.

Skills

Medical terminology

Billing & coding basics

Tools

ABACUS

Genesis

Revenue Cycle

ARMS (Accounts Receivable Management System)

Job description

Company Description

Walter Reed National Military Medical Center (WRNMMC) is the nation’s largest joint military medical center, serving military beneficiaries from the Washington, D.C. area, across the country, and around the world. Known as “The President’s Hospital Since 1942,” WRNMMC is a tertiary care center providing services in more than 100 clinics and specialties and is the first destination in the continental United States for wounded, ill, and injured service members from global conflicts. The medical center is committed to operational readiness, outstanding customer service, excellent graduate medical and dental education, robust research, and premier quality health care within an integrated health system.

Role Description

The Health Insurance Technician (Uniform Business Office) is a full-time, on-site role located in Bethesda, MD. This role is responsible for reviewing, verifying, and processing health insurance claims and related documentation to ensure accurate billing and reimbursement for medical services. Daily tasks include coordinating with clinical and administrative staff to obtain necessary medical and demographic information, applying appropriate insurance policies and regulations, and monitoring claim status to resolve discrepancies or denials. The technician maintains detailed records, updates patient accounts, and supports compliance with federal, state, and military health care billing guidelines. Provide technical oversight and quality control.Ensure accurate billing, collections, and audit trails for reimbursable earnings.Review, challenge, and analyze insurance payments and denials to maximize reimbursement.Improve and support the Medical Services Accounts (MSA) program and systems.Review and validate encounters for billing eligibility, accuracy, and completeness.Resolve claims issues and ensure follow-up on unpaid/denied bills.Post and reconcile insurance payments, and support billing system operations.Utilize knowledge of hardware (servers, printers, monitors, hard drives, etc.), software, and networking to ensure continuous electronic billing and integration with other medical information systems.

Qualifications

Candidates should possess foundational knowledge of Medicine or medical terminology to accurately interpret clinical documentation for billing and claims processing. One year of specialized experience which includes working with insurance companies regarding billings or payments; documenting transactions, identifying discrepancies to provide solutions; and working with automated healthcare or financial systems such as: Genesis, Revenue Cycle, Account Receivables Management System, Armed Forces Billing and Collection Utilization Solution (ABACUS). This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).