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Job opening: Lead Medical Reimbursement Technician

Salary: $49 025 - 64 732 per year
Published at: Jul 03 2024
Employment Type: Full-time
The incumbent serves as one of the primary customer (Veteran) facing liaisons for the CPAC organization; responding to telephonic, mail-in, and other patient inquiries received to include explaining the complexities of the cost recovery program, regulations, procedures, and policies in layman's terms.

Duties

Processes all veteran requests including waiver and compromise requests to include verification of complete required documentation. Prepares public vouchers for processing; processes refund reviews; pre-payments; claims matching; rated eligibility; CBI Blast reports; eligibility audit requests from Vista reports/messages, Veterans or other VA entities, PRM DMC/TOP; held charges; prepares paperwork for General Counsel review; prepares death notices for General Counsel review. Establishes repayment plans in VistA and furthermore monitors the plans to ensure monthly payments are being received. Collect, analyze, and prepare data for processing. Will determine as to the amount of credit given to offset the Veteran's account and properly annotate with electronic comment. Provides patient education and assistance via telephone or written correspondence concerning one or more of the programs administered in order to assist Veterans and their families understand program requirements, benefits, financial responsibilities. Insures that all pertinent information is gathered and entered into automated systems in a timely and accurate manner. Train or arrange for the training of team members in methods and techniques of team building and working in teams to accomplish tasks or projects. Work Schedule: 8:00am - 4:30pm Compressed/Flexible: Yes, based on agency need. 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. Virtual: This is not a virtual position. Position Description/PD#: Lead Medical Reimbursement Technician/PD04559A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/15/2024. Time-In-Grade Requirement: Applicants who are current Federal 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-07 position you must have served 52 weeks at the GS-06. The grade may have been in any occupation, but must have been held in the Federal service. An 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. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-06 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) Reports to the supervisor periodically on team and individual work accomplishments, problems, and training needs. 2) Distributes and balances workload and tasks among employees in accordance with established work flow. 3) Conducts follow-up contact with customers through telephone, electronic, or written media to ensure services provided were adequate and appropriate. 4) Establishes repayment plans and monitors the plans to ensure monthly payments are received. 5) Provides customer support to facilitate the relief of a customers debt by communication and various debt relief options. You will be rated on the following Competencies for this position: Analysis and Problem SolvingAudit ReportingCustomer ServiceLeadership 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: This is primarily sedentary, office work. 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.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

  • Address CPAC Mid South 1412 Hazelwood Dr Smyrna, TN 37167 US
  • Name: VHA National Recruitment Center
  • Phone: (844)456-5208
  • Email: [email protected]

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