Medical Reimbursement Technician

US-Department-of-Veterans-Affair; Kansas; On-site; USD 42,000 - 63,000; Full time

Job summary

The Consolidated Patient Account Center (CPAC) at the VA Medical Center in Leavenworth, KS seeks an administrative specialist to support medical billing and insurance verification. You will help process claims, confirm eligibility, and assist with data review to ensure proper reimbursement.

Qualifications include specialized GS-5/GS-6 experience or an equivalent educational background, with transcript required.

Qualifications

• Specialized experience at GS-5/GS-6 level or equivalent education.
• Experience must be documented with month/year and hours per week.
• Formal education substitution accepted with transcript.
• Combination of education and experience may apply with transcript.

Responsibilities

• Support medical billing and reimbursement processes.
• Review and determine eligibility for claims and coding review.
• Communicate with staff to address administrative data questions and priorities.

Skills

Administrative support

Data entry

Communication skills

Attention to detail

Education

Bachelor's degree or equivalent

Job description

This position is assigned to the Consolidated Patient Account Center (CPAC), Chief Operating Officer (COO), Billing and Insurance Verification Department, performing a broad range of duties to achieve the established and expected results for medical billing and reimbursable and non-reimbursable collections at the VA Medical Center in Leavenworth, KS.

SPECIALIZED EXPERIENCE GS-05:

Applicants must possess at least one (1) full year of specialized experience that equipped them with the particular knowledge, skills, and abilities to perform successfully the duties of this position, and that is typically in or related to the work of this position. To be creditable, this experience must have been equivalent to at least the GS-4 level in the Federal service. Examples of specialized experience include: following instructions about timeliness, objectives, and relative priorities for doing administrative work; communicating with co-workers and supervisors to discuss administrative concerns; and reviewing and determining the appropriateness of administrative data.

NOTE:

Experience must be documented within the resume to receive credit indicating clearly the nature of duties and responsibilities in each position, month and year and the number of hours a week spent in such employment.

OR

SUBSTITUTION OF EDUCATION FOR EXPERIENCE GS-05:

You must have successfully completed a bachelor's degree or 4 years of education above the high school level in any field for which high school graduation or the equivalent is the normal prerequisite? This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. One year of full-time academic study is defined as 30 semester hours, 45 quarter hours, or the equivalent in a college or university, or at least 20 hours of classroom instruction per week for approximately 36 weeks in a business, secretarial, or technical school.

NOTE:

Transcript required with application.

OR

COMBINATION OF EDUCATION AND EXPERIENCE GS-05:

An equivalent combination of specialized experience and post high school education as described above that demonstrates the ability to perform the duties of this position.

NOTE:

Transcript required with application.

SPECIALIZED EXPERIENCE GS-6

Applicants must possess at least one (1) full year of specialized experience that equipped them with the particular knowledge, skills, and abilities to perform successfully the duties of this position, and that is typically in or related to the work of this position. To be creditable, this experience must have been equivalent to at least the GS-5 level in the Federal service. Examples of specialized experience include: following instructions about timeliness, objectives, and relative priorities for doing administrative work; communicating with co-workers and supervisors to discuss administrative concerns; reviewing and determining the appropriateness of administrative data; validating claims for billing purposes by ensuring eligibility and referring questionable coding for review; and interpreting insurance policies and requirements for billing.

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/.

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.