Medical Reimbursement Technician
Employee will be assigned to the Consolidated Patient Account Center (CPAC), Chief Operating Officer (COO), Billing Department, Lebanon, PA, performing a broad range of duties to achieve the established and expected results for medical billing and reimbursable and non-reimbursable collections.
***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-6. At the GS-5 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-6. 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: Performs verification of patient insurance coverage. Obtains patient insurance information through automated databases, direct patient contact and 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, explaining 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, resolves problems and discrepancies, and closes out accounts. Performs other related duties as required. Work Schedule: Monday - Friday, 8:00am - 4:30pm. Recruitment & Relocation Incentives: Not authorized Telework: This position may be authorized for ad-hoc telework. Ad-hoc telework eligibility will be discussed during the interview process.
You must be a U.S. Citizen to apply for this job To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Selective Service Registration is required for males born after 12/31/1959 Subject to background/security investigation Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) - See "Required Documents" below for details. As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.