Employee will serve as a Reimbursable Billing Technician aligned within the Consolidated Patient Account Center (CPAC), under the Chief Operating Officer (COO, located at the Veterans Healthcare Administration (VHA) in Coatesville, PA. Serves as a primary contact for Veterans and Veteran stakeholders for billing and revenue related questions and research within VHA.

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 will include, but may not be limited to the following: Cooperates with personnel within other organizational units in the wider employing organization (e.g., insurance verification, revenue utilization review, medical and prescription billing, Veteran services, denials management, outpatient pharmacy electronic claims, and/or accounts management) to solve revenue problems. Performs 1st and 3rd party billing activity for Non-Medical Care Collections Fund (Non-MCCF). Determines whether a release of information (ROI) is needed and how to correctly document ROIs for billing purposes. Obtains data and other information from VA-specific change notifications and ad-hoc reports to proactively or retroactively correct 1st and 3rd party billing. Performs daily reviews, audits, and/or corrective actions in response to workload activities or requests received directly from Veteran customers, OGC, internal/external compliance and quality measurement and performance teams, and the VA Office of the Inspector General (OIG). Documents account status updates, transactions, decisions, and other actions for facility revenue billing and payment activities. Reviews outpatient encounters, inpatient admissions and discharges, long-term care visits, etc. to gain requisite data necessary for 3rd party billing preparation. Validates and maintains National Provider Identifier (NPI) information from the National Plan and Provider Enumeration System (NPPES) for care providers. Provides accurate and proficient guidance to all customer groups regarding debt relief options such as formal repayment plans and waivers. Interprets insurance policy coverages, VA eligibility benefits, and other factors that impact Veteran financial accounts for both 1st and 3rd Party billing. Performs other duties as necessary. Work Schedule: Monday-Friday, 8:00am - 4:30pm 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. Recruitment & Relocation Incentives: Not authorized Financial Disclosure Report: Not Required

Requirements

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: Requires one full year of specialized experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level (GS-6) in the Federal service. Specialized experience includes performing patient healthcare billing activities; gathering/collecting necessary information to analyze and resolve billing problems; applying analytical and evaluation techniques using various resources and computer information systems to resolve problems on healthcare billing (first and third party) insurance, co-payments and other benefit-related entitlements. PHYSICAL REQUIREMENTS: The position is mainly sedentary with occasional walking, standing, reaching, and bending, and carrying light items such as paper, folders, and files between desk and storage. Requires long periods of interaction at computer terminals. 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. 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 this 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]