Medical Reimbursement Technician

Immediate Office of the Assistant Secretary for Human Resources and Administration; Orlando (FL); On-site; USD 40,000 - 60,000; Full time

Job summary

This position serves as a Medical Reimbursement Technician in the Chief Operating Officer's office at the Florida Caribbean Consolidated Patient Accounts Center in Orlando, FL. The incumbent performs a broad range of duties related to insurance verification, medical billings, and reimbursements and collections for reimbursable and non-reimbursable items.

Required qualifications include specialized experience in verifying insurance coverage, processing claims, updating electronic databases, and

Qualifications

• Specialized experience in verifying insurance coverage and processing claims.
• Experience updating electronic databases and maintaining billing records.
• Education or combination of education and experience as described.

Responsibilities

• Verify insurance coverage and patient eligibility.
• Process medical billing claims and manage accounts.
• Maintain billing and payment records in electronic databases.

Skills

Insurance verification

Billing processing

Data entry

Account reconciliation

Customer inquiries

Education

4-year college education

Tools

Electronic databases

Billing systems

Job description

This position will serve as a Medical Reimbursement Technician within the Chief Operating Officer's office at the Florida Caribbean Consolidated Patient Accounts Center, located in Orlando, FL. The employee is responsible for performing a broad range of duties for insurance verification, medical billings, and reimbursable and non-reimbursable collections.

TO QUALIFY FOR THIS POSITION AT THE GS-5 GRADE LEVEL, YOU MUST MEET ONE OF THE FOLLOWING CRITERIA:

SPECIALIZED EXPERIENCE: You must possess at least one (1) full year of specialized experience that equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of this Medical Reimbursement Technician position. To be creditable, specialized experience must have been equivalent to at least the next lower grade level (GS-4) of Federal service. Specialized experience includes verifying medical insurance coverage and patient eligibility; reviewing and processing medical billing claims; entering and updating insurance and billing information in electronic databases; maintaining billing and payment records; and responding to inquiries regarding insurance coverage, billing, and account status. NOTE: Experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. A full year of work is considered to be 35-40 hours of work per week. ~OR~ SUBSTITUTION OF EDUCATION FOR EXPERIENCE: You must have successfully completed four (4) years of education above the high school level in any field 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: Transcripts (unofficial or official) must be submitted with your application materials. Education cannot be credited without documentation. ~OR~ COMBINATION OF EXPERIENCE AND EDUCATION: You must possess equivalent combinations of successfully completed post-high school education (beyond the second year) and specialized experience, as described above, which meet the total experience requirements for this grade level. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college, or university. NOTE: Experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. A full year of work is considered to be 35-40 hours of work per week. Transcripts (unofficial or official) must be submitted with your application materials. Education cannot be credited without documentation.

TO QUALIFY FOR THIS POSITION AT THE GS-6 GRADE LEVEL, YOU MUST MEET THE FOLLOWING CRITERIA:

SPECIALIZED EXPERIENCE: You must possess at least one (1) full year of specialized experience that equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of this Medical Reimbursement Technician position. To be creditable, specialized experience must have been equivalent to at least the next lower grade level (GS-5) of Federal service. Specialized experience includes verifying medical insurance coverage and patient eligibility; reviewing and processing medical billing claims; entering and updating insurance and billing information in electronic databases; maintaining billing and payment records; responding to inquiries regarding insurance coverage, billing, and account status; researching and resolving billing discrepancies, claim denials, and payment issues; and reconciling accounts and following up on outstanding balances. NOTE: Experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. A full year of work is considered to be 35-40 hours of work per week. 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/.