Medical Reimbursement Technician

Description:

This position is aligned under the Veterans Health Administration, Office of Finance, and is physically located in Orlando, Florida at the LAKEMONT ANNEX, Florida-Caribbean Consolidated Patient Account Center (CPAC), in either the Billing or Insurance Verification departments. The Medical Reimbursement Technician performs a broad range of duties to achieve the established Central Office VISN expected results for medical billing, and reimbursable and non-reimbursable collections.

Requirements:

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 05/27/2025.

Time-In-Grade Requirement GS-06 Only : 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-06 position you must have served 52 weeks at the GS-05 . 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.

Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-05 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:

• Follows instructions about timeliness, objectives and relative priorities for doing administrative work.
• Communicates with other staff as necessary to discuss administrative concerns.
• Reviews and determine the appropriateness of administrative data.

OR,
Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have 4 years above high school.

OR,
Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education beyond 4 years above high school.

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:

• Follows instructions about timeliness, objectives and relative priorities for doing administrative work.
• Communicates with other staff as necessary to discuss administrative concerns.
• Reviews and determine the appropriateness of administrative data.
• Validates claims for billing purposes ensuring eligibility and referring questionable coding for review.
• Interprets insurance policies and requirements for billing.

You will be rated on the following Competencies for this position:

• Customer Service (Clerical/Technical)
• Decision Making
• Manages and Organizes Information
• Self-Management
• Technical 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: The work is primarily sedentary with long periods of sitting at a desk, working with computers daily. Some work may require walking in offices and similar areas for meetings. Work may also require walking and standing in conjunction with travel to and attendance at meetings and conferences away from the worksite. The work does not require any special physical effort.

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/ .