Medical Reimbursement Technician

About the role

This position is located in the Billing and Insurance Verification Department, under Chief Operating Officer (COO) at the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Consolidated Patient Account Center (CPAC), in Middleton, WI. The primary purpose of this position is to perform a variety of functions, including medical billing, reimbursable and non-reimbursable collections, and insurance verification, as well as other financial management duties assigned. TO QUALIFY FOR THIS POSITION AT THE GS-5 GRADE LEVEL, YOU MUST MEET ONE THE FOLLOWING CRITERIA: SPECIALIZED EXPERIENCE: Have 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 level of Federal service. Examples of qualifying specialized experience include: Verification of patients/customer information, entering data into the patients/customer account and automated databases, communication with internal and external customers, meeting required timelines, and administrative support. 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: Have successfully completed four (4) years of education above high school in any field for which high school graduation or the equivalent is the normal prerequisite. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university.NOTE: Transcripts (unofficial or official) must be submitted with your application materials. Education cannot be credited without documentation.~OR~ COMBINATION OF EXPERIENCE AND EDUCATION: Have an equivalent combination of specialized experience and post high school education as described above that demonstrates your ability to perform the duties of this position.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. Transcripts (unofficial or official) must be submitted with your application materials. Education cannot be credited without documentation. TO QUALIFY FOR THIS POSITION AT THE GS-6 GRADE LEVEL, YOU MUST MEET THE FOLLOWING CRITERIA: SPECIALIZED EXPERIENCE: Have 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 level of Federal service. In addition to the examples provided at the GS-05 level, examples of qualifying specialized experience include: Validating claims for billing purposes; Ensuring eligibility and referring questionable coding for review; and Interpreting insurance policies and requirements for billing.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. 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/.

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