Reimbursable Billing Technician

About the role

This position is in a Veteran Affairs Medical Center (VAMC) facility aligned with a Consolidated Patient Account Center (CPAC) organizationally under the Chief Operating Officer (COO). The CPAC is a regionally consolidated business entity established to enhance revenue within Veterans Health Administration (VHA) using an industry best model built on regional management of key aspects of the revenue cycle, process standardization, accountability, and economies of scale.

Responsibilities

• Provides accurate and timely billing and collection activities in accordance with national policies, VHA regulations, and healthcare laws.
• Performs a wide variety of activities common to the segment of the program or function for which the employee is responsible.
• Makes decisions or recommendations based on the development and evaluation of information that comes from various sources.
• Identifies and studies factors or conditions and determines their interrelationships as appropriate to the defined area of work.
• Uses independent analytical techniques and theories to apply and interpret requirements, regulations, and procedures that identify and capture the applicable revenue activities from the affected assigned areas at the VAMCs to the CPAC.
• Serves as a financial ambassador/educator by providing Veterans, their families, VAMC teams and other internal and external agencies, guidance on repayment plans, waivers, interpreting insurance and eligibility benefits, and other factors that impact the Veteran's accounts for both First Party (FP) and Third Party (TP) billing.
• Independently evaluates the significance of actions within their span of responsibility, assigns disposition instructions, and implements the most responsive and cost-effective means for managing them.
• Independently researches, analyzes, generates, and corrects Veteran's FP co-payments for care as it pertains to a variety of complex VA programs, for VAMC provided services.
• Other related duties as assigned.

Work Schedule

Monday - Friday, 8:00 am - 4:30 pm

Virtual Work

This position may be authorized for Virtual Work.

Physical Requirements

The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/08/2026.

Specialized Experience

• Provides customer service to meets the needs of the customer.
• Provides patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence.
• Identifies, reviews, analyzes, process and completes co-payments and insurance encounters and other billing related activities.
• Independently reviews and processes all specialty billing encounters.
• Reviews, analyzes, researches, and verifies insurance policy coverage, filing time frames, COB information and certification requirements for secondary billing.