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Immediate Office of the Assistant Secretary for Human Resources and Administration within the Department of Veterans Affairs is seeking a Medical Reimbursement Technician in Middleton, WI. You will perform a broad range of duties to support medical billings and reimbursements, working a standard weekday schedule.
Responsibilities include validating claims, submitting to third party carriers, and interpreting Medicare coverage.
This position is located in the Consolidated Patient Account Center in Middleton, WI. The Medical Reimbursement Technician is responsible for performing a broad range of duties to achieve the established expected results for medical billings and reimbursable and non-reimbursable collections.
***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-06. At the GS-05 grade level, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-06.
Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher-level work, and availability of funds. Major duties and responsibilities include but not limited to: Validating claims for billing purposes ensuring eligibility and referring questionable coding for review. Submitting claims to third party health insurance carriers, with knowledge of Medicare coverage benefits.
Interpreting third party insurance policies and requirements for billing. Taking responsibility for Medicare reimbursable billing activities. Following instructions about timeliness, objectives, and relative priorities for doing work. Handling conflicting goals, objectives, priorities, timelines, and deadlines. Exhibiting flexibility in adapting to changing demands within specific timelines.
Accepting and completing work provided by a standardized control system such as batched work, caseload level, or other defined structure. Using a wide range of office software applications such as Microsoft Access, Excel, and Word. Composing correspondence on a situational basis. Processing billings using ICD-9-MC, CPT/4, and HCPCS codes. Performing other related duties assigned. Work Schedule: Monday-Friday, 8:00 a.m. to 4:30 p.m.
Recruitment & Relocation Incentives: May be authorized for highly qualified candidates Critical Skills Incentive (CSI): Not approved Telework: This position may be authorized for ad-hoc telework. Telework eligibility will be discussed during the interview process.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education at the GS-05 grade level. There is no educational substitution at the GS-06 grade level. NOTE: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
This position is with Immediate Office of the Assistant Secretary for Human Resources and Administration, Department of Veterans Affairs.
The posted pay range is $40736 - $59031/yr.
This position is eligible for telework.
This position requires a Other security clearance.
Applications close on 2026-11-18.
There are 12 openings for this position.
This position is open under the 'Public' hiring path.