Reimbursable Billing Technician
The incumbent serves as the keystone between the VAMC and the CPAC teams to capture and communicate all revenue cycle activities. Processes accurate and timely billing and collection activities to be completed in accordance with national policies, VHA regulations and healthcare laws. Work consists of specialized duties with continuing responsibility for projects, questions, or problems that arise within an area of a program or functional specialty as defined by management. Work involves identifying and studying factors or conditions and determining their interrelationships as appropriate to the defined area of work. The incumbent uses independent analytical techniques and theories to apply and interpret requirements, regulations, and procedures that identify and capture the applicable revenue activities from the affected assigned areas at the VAMCs to the CPAC. Work Schedule:
Monday through Friday, 8:
00 to 4:
30pm. Compressed/Flexible:
There is flexibility in the scheduled duty hours. Telework:
Suitable for some days per Pay Period. Virtual:
This is not a virtual position. Position Description/PD#:
Reimbursable Billing Technician/PD05619A Relocation/Recruitment Incentives:
Not authorized. Financial Disclosure Report:
Not required. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/13/2020. Time-In-Grade Requirement:
Applicants who are current VA employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-06 position you must have served 52 weeks at the GS-05. The grade may have been in any occupation, but must have been held in the Federal service. A SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. You may qualify based on your experience as described below:
Specialized
Experience:
You must have one year of specialized experience equivalent to at least the next lower grade GS-05 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
1) Identifies, reviews, analyzes, processes and completes co-payments and insurance encounters and other billing related activities. 2) Resolves operational problems as it applies to patient accounts. 3) Applies analytical and evaluation techniques to determine if co-payment bills are appropriate. 4) Reviews, analyzes, researches and verifies insurance policy coverage, filing time frames, COB information, and certification requirements for secondary billing. 5) Documents current account status for all billing and accounting actions identifying when encounters are considered billable or non-billable. You will be rated on the following Competencies for this position:
Customer ServiceInsuranceOrganizational AwarenessTechnical Competence Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Note:
A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements:
The work is primarily sedentary with long periods of sitting at a desk, working with computers daily. Some work may require walking in offices and similar areas for meetings. Work may also require walking and standing in conjunction with travel to and attendance at meetings and conferences away from the worksite. The work does not require any special physical effort. 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/.
Estimated Salary: $20 to $28 per hour based on qualifications.
Monday through Friday, 8:
00 to 4:
30pm. Compressed/Flexible:
There is flexibility in the scheduled duty hours. Telework:
Suitable for some days per Pay Period. Virtual:
This is not a virtual position. Position Description/PD#:
Reimbursable Billing Technician/PD05619A Relocation/Recruitment Incentives:
Not authorized. Financial Disclosure Report:
Not required. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/13/2020. Time-In-Grade Requirement:
Applicants who are current VA employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-06 position you must have served 52 weeks at the GS-05. The grade may have been in any occupation, but must have been held in the Federal service. A SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. You may qualify based on your experience as described below:
Specialized
Experience:
You must have one year of specialized experience equivalent to at least the next lower grade GS-05 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:
1) Identifies, reviews, analyzes, processes and completes co-payments and insurance encounters and other billing related activities. 2) Resolves operational problems as it applies to patient accounts. 3) Applies analytical and evaluation techniques to determine if co-payment bills are appropriate. 4) Reviews, analyzes, researches and verifies insurance policy coverage, filing time frames, COB information, and certification requirements for secondary billing. 5) Documents current account status for all billing and accounting actions identifying when encounters are considered billable or non-billable. You will be rated on the following Competencies for this position:
Customer ServiceInsuranceOrganizational AwarenessTechnical Competence Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Note:
A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements:
The work is primarily sedentary with long periods of sitting at a desk, working with computers daily. Some work may require walking in offices and similar areas for meetings. Work may also require walking and standing in conjunction with travel to and attendance at meetings and conferences away from the worksite. The work does not require any special physical effort. 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/.
- Department:
0503 Financial Clerical And Assistance - Salary Range:
$40,079 to $52,104 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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