Medical Reimbursement Technician

Department of Veterans Affairs

This position is located in the Billing and Insurance Verification Department of the North-Central Consolidated Patient Account Center (CPAC) at the VA Medical Cetner in Middleton, WI. The Medical Reimbursement Technician performs a variety of functions including medical billing, reimbursable and non-reimbursable collections, insurance verification, and other financial management duties.

• ***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 include but are not limited to the following: 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 through Friday; 8:00am - 4:30pm. Recruitment Incentives: May be authorized. Critical Skills Incentive (CSI): Not approved.

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