Medical Reimbursement Technician - Recruitment Incentive

Specialized Experience (GS-05): At least one (1) year of specialized experience that is equivalent to at least the next lower grade level (GS-04) in the Federal service.

Specialized experience is experience performing a variety of administrative and/or clerical support duties associated with daily office operations, including providing general administrative assistance and supporting routine office functions and activities. (CLEAR DETAILS OF EXPERIENCE REQUIRED: Your resume must show complete information for each job entry, such as beginning and ending dates of employment, duties performed, and/or total hours worked per week.) OR, Education (GS-05): At least four (4) years of successfully completed education above the high school level in any field for which high school graduation or the equivalent is the normal prerequisite.

This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. NOTE: One year of full-time undergraduate study is defined as 30 semester hours, 45 quarter hours, or the equivalent in a college or university or at least 20 hours of classroom instruction per week for approximately 36 weeks in a business or technical school. TRANSCRIPT REQUIRED before announcement closes.

OR, Combination (GS-05): A combination of specialized experience and education as described above. For GS-5 level positions, only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable toward meeting the specialized experience requirement (e.g., one full academic year of study (30 semester hours) beyond the second year is equivalent to 6 months of specialized experience). TRANSCRIPT REQUIRED before announcement closes.

Specialized Experience (GS-06): At least one (1) year of specialized experience that is equivalent to at least the next lower grade level (GS-05) in the Federal service.

Specialized experience is experience performing duties related to medical billing and/or insurance verification processes, including carrying out tasks and responsibilities associated with medical billing activities and/or verifying insurance information as part of routine administrative operations. (CLEAR DETAILS OF EXPERIENCE REQUIRED: Your resume must show complete information for each job entry, such as beginning and ending dates of employment, duties performed, and/or total hours worked per week.) 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/.

THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-06. At the GS-05 grade level, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-06.

Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher-level work, and availability of funds. Major duties and responsibilities include but not limited to: Validating claims for billing purposes ensuring eligibility and referring questionable coding for review. Submitting claims to third party health insurance carriers, with knowledge of Medicare coverage benefits. Interpreting third party insurance policies and requirements for billing.

Taking responsibility for Medicare reimbursable billing activities. Following instructions about timeliness, objectives, and relative priorities for doing work. Handling conflicting goals, objectives, priorities, timelines, and deadlines. Exhibiting flexibility in adapting to changing demands within specific timelines. Accepting and completing work provided by a standardized control system such as batched work, caseload level, or other defined structure.

Using a wide range of office software applications such as Microsoft Access, Excel, and Word. Composing correspondence on a situational basis. Processing billings using ICD-9-MC, CPT/4, and HCPCS codes. Performing other related duties assigned. Work Schedule: Monday-Friday, 8:00 a.m. to 4:30 p.m. Recruitment & Relocation Incentives: May be authorized for highly qualified candidates Critical Skills Incentive (CSI): Not approved Telework: This position may be authorized for ad-hoc telework.

Telework eligibility will be discussed during the interview process.