Medical Reimbursement Technician
What you'd do
Employee will be assigned to the Consolidated Patient Account Center (CPAC), Chief Operating Officer (COO), Billing and Insurance Verification Department, Leavenworth, KS. performing a broad range of duties to achieve the established and expected results for medical billing and reimbursable and non-reimbursable collections.
Major 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-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: Full Time, Monday - Friday, 8:00am - 4:30pm Recruitment & Relocation Incentives: Not authorized Critical Skills Incentive (CSI): Not approved
What you need to qualify
SPECIALIZED EXPERIENCE GS-05: Applicants must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-4) in the Federal Service that has given you the knowledge, skills and abilities required to successfully perform the duties of a Medical Reimbursement Technician. Specialized experience includes working in a medical billing environment of healthcare reimbursement and accounts receivables; verifying patient insurance coverage and eligibility; collecting from third party insurance companies; coding actions utilizing ICD-9 and CPT/4 diagnostic codes. NOTE: Experience must be documented within the resume to receive credit indicating clearly the nature of duties and responsibilities in each position, month and year and the number of hours a week spent in such employment. OR SUBSTITUTION OF EDUCATION FOR EXPERIENCE GS-05: You mut have successfully completed 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: Transcript required with application. OR COMBINATION OF EDUCATION AND EXPERIENCE GS-05: Do you have an equivalent combination of specialized experience and post high school education as described above that demonstrates my ability to perform the duties of this position? NOTE: Transcript required with application. SPECIALIZED EXPERIENCE GS-6: Applicants must possess at least one (1) full year of specialized experience that equipped them with the particular knowledge, skills, and abilities to perform successfully the duties of this position, and that is typically in or related to the work of this position. To be creditable, this experience must have been equivalent to at least the GS-5 level in the Federal service. Specialized experience includes: working in a medical billing environment for healthcare reimbursement and accounts receivables; verifying patient insurance coverage and eligibility; collecting from third party insurance companies; coding actions utilizing International Classification of Diseases (ICD-9) and Current Procedural Terminology (CPT/4) diagnostic codes; and auditing accounts and using a wide range of office software applications. Experience must be documented within the resume to receive credit indicating clearly the nature of duties and responsibilities in each position, month and year and the number of hours a week spent in such employment. PHYSICAL REQUIREMENTS: The work may require some physical effort such as periods of standing, walking, or bending. There are no special physical demands. 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/.
Before you apply
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