Jobs · Healthcare · Pennsylvania

Medical Reimbursement Technician

U.S. Department of Veterans Affairs · Lebanon, PA · 1 mo ago
HealthcareFull-time

Duties

  • Performs verification of patient insurance coverage
    • Obtains patient insurance information through automated databases
      • Direct patient contact
    • 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
  • Validates claims for billing purposes - ensuring eligibility - and referring questionable coding for review
    • Tracks - reviews - and corrects denials
  • Obtains required information and coordinates completion of forms with patients - staff - and providers
    • Responds to patients' questions
  • Explains 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
  • Solves problems and discrepancies - and closes out accounts

    Qualifications

    • To qualify for this position at the GS-5 level - you must meet one of the following:
      • SPECIALIZED EXPERIENCE (GS-5): At least one (1) year of specialized experience that equipped you 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 qualify for this position at the GS-6 level - you must meet the following:
      • SPECIALIZED EXPERIENCE (GS-6): At least one (1) year of specialized experience that equipped you 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.

    Education

    • Successful completion of (4) years of education above the high school level.

    Combining Education and Experience

    • Combination of successfully completed post high school education and experience may be used to meet total qualification requirements.

    Pay

    This position does not offer a pay scale.

    Schedule

    Monday through Friday - 8:00am to 4:30pm

    Recruitment & Relocation Incentives

    Not authorized

    Critical Skills Incentive (CSI)

    Not Approved

    Telework

    This position may be authorized for ad-hoc teleworkAd-hoc telework eligibility will be discussed during the interview process.

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