Med Reimbursement Tech
Duties include, but are not limited to, the following:
Performs verification of patient insurance coverage; Obtains patient insurance information through automated databases, direct patient contact and contact with insurance companies; Verifies benefits, policy number, pre-certification requirements, and effective dates of coverage; Updates and maintains patient information in an electronic database; Generates monthly reports as required; Ensures that all billable cases are identified and that bills are accurately generated; Tracks, reviews and corrects denials; Obtains required information and coordinates completion of forms with patients, staff and providers; Responds to patients' questions, explaining eligibility requirements, insurance provisions, and billing and payment procedures; Performs third party collection from insurance companies and accounts receivable functions; Verifies the accuracy of payments, resolves problems and discrepancies, and closes out accounts; and Performs other related duties as assigned. Work Schedule:
Monday through Friday, 8:
00a.m. to 4:
30p.m. Recruitment & Relocation Incentives:
Not authorized Financial Disclosure Report:
Not Required To qualify for this position at the GS-6 grade level, you must meet the following criteria:
GS-6 SPECIALIZED
Experience:
One (1) full year of specialized experience equivalent to the GS-5 grade level in the Federal service that has equipped you with the knowledge, skills, and abilities necessary to perform the duties of a Medical Reimbursement Technician GS-6. Specialized experience includes:
performing healthcare reimbursement and medical billing; verifying patient insurance coverage and eligibility; investigating/researching payment discrepancies (i.e., duplicate claimants, confusing/missing records, changes in entitlement, etc.); correcting accounting errors; coding actions utilizing the International Statistical Classification of Diseases and Related Health Problems (ICD10), Current Procedural Terminology (CPT), and the Health Care Common Procedural Coding System (HCPCS); and closing-out and auditing accounts. NOTE:
To qualify, your resume must clearly document the required experience cited above. You will be rated on the following Competencies as part of the assessment questionnaire for this position:
Customer ServiceDecision MakingManages and Organizes InformationSelf-ManagementTechnical Competence IMPORTANT:
A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. 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. 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; religious; 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. 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/.
Estimated Salary: $20 to $28 per hour based on qualifications.
Performs verification of patient insurance coverage; Obtains patient insurance information through automated databases, direct patient contact and contact with insurance companies; Verifies benefits, policy number, pre-certification requirements, and effective dates of coverage; Updates and maintains patient information in an electronic database; Generates monthly reports as required; Ensures that all billable cases are identified and that bills are accurately generated; Tracks, reviews and corrects denials; Obtains required information and coordinates completion of forms with patients, staff and providers; Responds to patients' questions, explaining eligibility requirements, insurance provisions, and billing and payment procedures; Performs third party collection from insurance companies and accounts receivable functions; Verifies the accuracy of payments, resolves problems and discrepancies, and closes out accounts; and Performs other related duties as assigned. Work Schedule:
Monday through Friday, 8:
00a.m. to 4:
30p.m. Recruitment & Relocation Incentives:
Not authorized Financial Disclosure Report:
Not Required To qualify for this position at the GS-6 grade level, you must meet the following criteria:
GS-6 SPECIALIZED
Experience:
One (1) full year of specialized experience equivalent to the GS-5 grade level in the Federal service that has equipped you with the knowledge, skills, and abilities necessary to perform the duties of a Medical Reimbursement Technician GS-6. Specialized experience includes:
performing healthcare reimbursement and medical billing; verifying patient insurance coverage and eligibility; investigating/researching payment discrepancies (i.e., duplicate claimants, confusing/missing records, changes in entitlement, etc.); correcting accounting errors; coding actions utilizing the International Statistical Classification of Diseases and Related Health Problems (ICD10), Current Procedural Terminology (CPT), and the Health Care Common Procedural Coding System (HCPCS); and closing-out and auditing accounts. NOTE:
To qualify, your resume must clearly document the required experience cited above. You will be rated on the following Competencies as part of the assessment questionnaire for this position:
Customer ServiceDecision MakingManages and Organizes InformationSelf-ManagementTechnical Competence IMPORTANT:
A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. 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. 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; religious; 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. 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/.
- Department:
0503 Financial Clerical And Assistance - Salary Range:
$38,921 to $50,598 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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