The incumbent serves as a Lead Medical Reimbursement Technician within the Business Office. The Incumbent is responsible for performing a broad range of duties to achieve the established Central Office VISN expected results for Medical billings and reimbursable and non-reimbursable collections. The incumbent may also perform Insurance verification duties.

Duties

Keep in touch with status and progress or work and make day-to-day adjustments. Estimate and report on expected time of completion of work. Instruct employees in specific tasks and job techniques. Give on the job training. Monitor working conditions such as seating, safety, etc. Ability to interpret contract language to ensure compliance of third party payers Work Schedule: Monday - Friday, 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/PD04348A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/04/2024. 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. 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. In order to meet the minimum qualifications for this position, you must meet 3/5 the following examples of specialized experience. Examples of specialized experience would typically include, but are not limited to: Track, review and correct claims denials. Process third party collection and reimbursement actions. Coordinate completion of forms with patients, administrative staff and providers. Verifies health insurance coverage. Validate claims for billing purposes, ensuring eligibility and referring questionable coding for review. You will be rated on the following Competencies for this position: CommunicationsLead or SuperviseManages and Organizes InformationTechnical 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: 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.

Contacts

• Address Western Consolidated Patient Accounts Center 1085 Palm Airport DR Las Vegas, NV 89119 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: [email protected]