Medical Reimbursement Technician

This position will serve as a Medical Reimbursement Technician within the Chief Operating Officer's office at the Florida Caribbean Consolidated Patient Accounts Center, located in Orlando, FL. The employee is responsible for performing a broad range of duties for insurance verification, medical billings, and reimbursable and non-reimbursable collections. PRINCIPALES MISSIONS : ***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. Duties include but may not be limited to the following: Validates claims for billing purposes, ensures eligibility, and refers questionable coding for review. Contacts insurance companies to confirm coverage, benefits, deductibles, copays, coinsurance, and authorization requirements. Reviews patient demographic and insurance information for accuracy. Obtains and documents prior authorizations when required by the payer. Performs Medicare reimbursable billing activities in accordance with applicable requirements. Interprets third-party insurance policies, contractual provisions, and requirements for billing. Reviews and verifies insurance coverage and eligibility information for billing purposes. Reviews billing and account information to determine accuracy and appropriateness. Responds to inquiries and correspondence concerning medical billing, insurance coverage, and account status. Processes medical billings in accordance with applicable diagnostic and procedural coding requirements. Uses office software applications, including Microsoft Access, Excel, and Word, to perform insurance verification, billing, and administrative functions. Organizes and completes assigned work in accordance with established timelines, priorities, and workload requirements. Performs other related duties as assigned. Work Schedule: Monday - Friday, 8:00am - 4:30pm Recruitment & Relocation Incentives: Not authorized Critical Skills Incentive (CSI): Not approved Telework: This position may be authorized for telework. Telework eligibility will be discussed during the interview process. QUALIFICATIONS REQUISES : TO QUALIFY FOR THIS POSITION AT THE GS-5 GRADE LEVEL, YOU MUST MEET ONE OF THE FOLLOWING CRITERIA: SPECIALIZED EXPERIENCE: You must possess at least one (1) full year of specialized experience that equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of this Medical Reimbursement Technician position. To be creditable, specialized experience must have been equivalent to at least the next lower grade level (GS-4) of Federal service. Specialized experience includes verifying medical insurance coverage and patient eligibility; reviewing and processing medical billing claims; entering and updating insurance and billing information in electronic databases; maintaining billing and payment records; and responding to inquiries regarding insurance coverage, billing, and account status. NOTE: Experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. A full year of work is considered to be 35-40 hours of work per week. ~OR~ SUBSTITUTION OF EDUCATION FOR EXPERIENCE: You must have successfully completed four (4) years of education above the high school level in any field which high school graduation or the equivalent is the normal prerequisite. This education m

Salaire : $40,736 – $59,031/Per Year | Avantages : http://www.vacareers.va.gov/why-choose-va/benefits/index.asp

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