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Medical Reimbursement Technician
Veterans Health Administration · Posted 6 days ago
On-site Orlando, FL $41K – $59K Apply by Sep 15, 2026 Financial Clerical And Assistance ESTJESTPISFPISTP Trades
Apply for this job → About the Role
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 is responsible for performing a broad range of duties for medical billings and reimbursable and non-reimbursable collections within the Business Office.
What You'll Do
- →***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-6.
- →At the GS-5 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-6.
- →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: Verifying veterans' insurance coverage for inpatient and outpatient services, entering updated information, and maintaining the database.
- →Documenting pre-admission requirements and identifying patients requiring second opinions.
- →Responsible for all reimbursable billing activities including consideration of professional services and facility services, sharing agreements, Tricare, Champ VA, Medicare, and pharmacy billing.
- →Validating claims for billing purposes ensuring eligibility and referring questionable coding for review; monitoring reports to assure all possible billable cases are processed; and ensuring proper sequencing of diagnostic and procedural codes and assigns modifiers as needed.
- →Responsible for third party collection from insurance companies and for accounts receivable including humanitarian, DoD, Tricare tort feasor, workman's compensation, fugitive felon, ineligible Champ VA, and no-fault auto accidents.
- →Researching and resolving problems and posting payments, adjustments, denial codes, and non-payment collections.
- →Following up on accounts receivable; determining the accuracy of reimbursement received; responding to correspondence and inquiries; expediting and maximizing collections; maintaining records; and making debt adjustment and assigning funds received to the correct account.
- →Verifying the accuracy of payments, resolving problems and discrepancies, and closing out accounts.
- →Responding to questions and inquiries from veterans and insurance companies.
Requirements
- ✓You must be a U.S.
- ✓Citizen to apply for this job To be considered for this position, you must complete all required steps in the process.
- ✓In addition to the application and questionnaire, this position requires an online assessment.
- ✓The online assessment measures critical general competencies required to perform the job.
- ✓Selective Service Registration is required for males born after 12/31/1959 Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment.
- ✓A pre-placement physical examination is not required.
- ✓Subject to background/security investigation Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) - See "Required Documents" below for details.
- ✓As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest.
- ✓In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
- ✓Upon completion of your probationary, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
- ✓IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Personality Fit
Job ID: 052f9f56-ff69-4d65-aa1b-5fcadeb1327a
Posted via USAJobs