This Reimbursable Billing Technician (RBT) position is in a Veteran Affairs Medical Center (VAMC) facility aligned with a Consolidated Patient Account Center (CPAC). Duty Location: Togus, ME.

Duties

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties include, but are not limited to the following: Provides accurate and timely billing and collection activities to be completed in accordance with national policies, VHA regulations and healthcare laws. Performs a wide variety of activities common to the segment of the program or function for which the employee is responsible. Makes decisions or recommendations based on the development and evaluation of information that comes from various sources. Identifies and studies factors or conditions and determining their interrelationships as appropriate to the defined area of work. 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. Serves as a financial ambassador/educator by providing Veterans, their families, VAMC teams and other internal and external agencies, guidance on repayment plans, waivers, interpreting insurance and eligibility benefits, and other factors that impact the Veteran's accounts for both First Party (FP) and Third Party (TP) billing. Independently evaluates the significance of actions within their span of responsibility, assigns disposition instructions, and implements the most responsive and cost-effective means for managing them. Independently researches, analyzes, generates, and corrects Veteran's FP co-payments for care as it pertains to a variety of complex VA programs, for VAMC provided services. Performs other duties as assigned. Work Schedule: Full Time, Monday - Friday 8:00am - 4:30pm Recruitment & Relocation Incentives: Not authorized Financial Disclosure Report: Not Required Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.

Requirements

Qualifications

To apply for this position, you must have the following qualifications: English Language Proficiency - In accordance with 38 U.S.C. 7402(d), No person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. You must be proficient in basic written and spoken English in order to meet the requirements of this position. AND Specialized Experience GS-6: You must have one (1) full year of specialized experience equivalent to the next lower grade level (GS-05) in Federal service that includes providing customer service to meets the needs of the customer; providing patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence; identifying, reviewing, analyzing, processing and completing co-payments and insurance encounters and other billing related activities; reviewing and processing all specialty billing encounters; reviewing, analyzing, researching, and verifying insurance policy coverage, filing time frames. Specialized Experience GS-7: You must have one (1) full year of specialized experience equivalent to the next lower grade level (GS-06) in Federal service that includes providing customer service to meets the needs of the customer; providing patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence; initiating, gathering, and processing 3rd party revenue actions related to legal case activities by applying appropriate and relevant guidelines; researching and recognizing data for dialysis billing to 3rd party insurance companies using a specified patient claims information system database; conducting assigned ad hoc corrective projects, answers questions, and solves agency revenue account problems; assisting in synchronizing and the operationalization of all revenue activities; accessing various menu options to identify, review, analyze, process and complete co-payments and insurance encounters and billing related activities. You will be rated on the following Competencies as part of the assessment questionnaire for this position: Customer Service (Clerical/Technical)InsuranceOrganizational AwarenessTechnical Competence IMPORTANT: A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. 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. 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; religious; 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. Physical Requirements: The work is performed mainly in a sedentary manner. Occasional walking, standing, reaching, and bending are required. The carrying of light items such as paper, folders, and files between desk and storage is common. The work requires long periods of interaction at computer terminals. 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/.

Education

There is no educational substitution at the GS-6 or GS-7 grade level.

Contacts

• Address VA NECPAC Lebanon 734 1700 South Lincoln Avenue Lebanon, PA 17042 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: [email protected]