Medical Reimbursement Technician
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 include, but are not limited to the following:
Validate claims for billing purposes ensuring eligibility and referring questionable coding for review. Submit claims to 3rd party health Insurance Carriers, with knowledge of Medicare coverage benefits. Interpret third party insurance policies and requirements for billing. Interprets third party insurance policies and requirements for billing. Take Responsibility for Medicare reimbursable billing activities. Follow instructions about timeliness, objectives, and relative priorities for doing work. Handle conflicting goals, objectives, priorities, time-lines, and deadlines. Exhibit flexibility in adapting to changing demands within specific time lines. Accept and completes work provided by a standardized control system such as batched work, caseload level, or other defined structure. Use a wide range of office software applications such as Microsoft Access, Excel, and Word. Compose correspondence on a situational basis. Process billings using ICD-9-MC, CPT/4, and HCPCS codes timely. Perform other duties assigned as it relates to the position. Work Schedule:
Monday - Friday 8:
00 AM - 4:
30 PM Recruitment & Relocation Incentives:
Not authorized Financial Disclosure Report:
Not Required TO QUALIFY FOR THIS POSITION, YOU MUST MEET THE FOLLOWING REQUIREMENTS:
MINIMUM
Qualifications:
SPECIALIZED EXPERIENCE GS-05:
Possess one (1) year of specialized experience equivalent to at least the GS04 level in Federal Service. Specialized experience includes working in a medical billing environment of healthcare reimbursement and accounts receivables; verifying patient insurance coverage and eligibility; collecting from third party insurance companies; coding actions utilizing ICD-9 and CPT/4 diagnostic codes. OR SUBSTITUTION OF EDUCATION FOR EXPERIENCE GS-05:
Successfully completed four (4) years of education above the high school level in any field 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. One year of full-time academic 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, secretarial, or technical school. (TRANSCRIPTS REQUIRED) OR COMBINATION OF EXPERIENCE AND EDUCATION GS-05:
Possess equivalent combinations of successfully completed post-high school education (beyond the second year) and specialized experience, as described above, which meet the total experience requirements for this grade level. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. (TRANSCRIPTS REQUIRED)
Estimated Salary: $20 to $28 per hour based on qualifications.
Validate claims for billing purposes ensuring eligibility and referring questionable coding for review. Submit claims to 3rd party health Insurance Carriers, with knowledge of Medicare coverage benefits. Interpret third party insurance policies and requirements for billing. Interprets third party insurance policies and requirements for billing. Take Responsibility for Medicare reimbursable billing activities. Follow instructions about timeliness, objectives, and relative priorities for doing work. Handle conflicting goals, objectives, priorities, time-lines, and deadlines. Exhibit flexibility in adapting to changing demands within specific time lines. Accept and completes work provided by a standardized control system such as batched work, caseload level, or other defined structure. Use a wide range of office software applications such as Microsoft Access, Excel, and Word. Compose correspondence on a situational basis. Process billings using ICD-9-MC, CPT/4, and HCPCS codes timely. Perform other duties assigned as it relates to the position. Work Schedule:
Monday - Friday 8:
00 AM - 4:
30 PM Recruitment & Relocation Incentives:
Not authorized Financial Disclosure Report:
Not Required TO QUALIFY FOR THIS POSITION, YOU MUST MEET THE FOLLOWING REQUIREMENTS:
MINIMUM
Qualifications:
SPECIALIZED EXPERIENCE GS-05:
Possess one (1) year of specialized experience equivalent to at least the GS04 level in Federal Service. Specialized experience includes working in a medical billing environment of healthcare reimbursement and accounts receivables; verifying patient insurance coverage and eligibility; collecting from third party insurance companies; coding actions utilizing ICD-9 and CPT/4 diagnostic codes. OR SUBSTITUTION OF EDUCATION FOR EXPERIENCE GS-05:
Successfully completed four (4) years of education above the high school level in any field 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. One year of full-time academic 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, secretarial, or technical school. (TRANSCRIPTS REQUIRED) OR COMBINATION OF EXPERIENCE AND EDUCATION GS-05:
Possess equivalent combinations of successfully completed post-high school education (beyond the second year) and specialized experience, as described above, which meet the total experience requirements for this grade level. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. (TRANSCRIPTS REQUIRED)
- Department:
0503 Financial Clerical And Assistance - Salary Range:
$34,916 to $45,393 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
