Financial Accounts Technician (Billing Technician)
Process & reviews first party receivables ensuring applicable co-pays for Tricare & Department of Labor beneficiaries and other non-automated co-payment activities are completed. Serves as the liaison for Tricare, Champva, Department of Labor inquiries for all sites. Responsible for coordinating activities with the medical center, internal customers, external customer and ensuring ongoing communication. . Prepares, executes, and/or tracks revenue program specific information. Organizes and retrieves computerized data. Evaluates and performs a detailed analysis of data received from various sources. Generates reports on a variety of data to include Coordination of Benefits, Claim Status Awaiting Work list, Electronic Claims Management Engine. Review documents, reports, and/or applications for omissions and inconsistencies, and ensures data is complete and accurate or refers to appropriate area for completion. Enters pertinent information into an automated tracking system and maintains accurate program specific data for maximum reimbursement while keeping compliant. Reviews health insurance coverage with patients, explains issues such as deductibles, copayments, length of stay, and other matters that explain the VA's role in insurance reimbursement. Counsels patients on coverage to ensure maximum reimbursement for all facilities. May refer certain cases to utilization review nurse and/or attending physician for clarification of billable services and/or appeal process. Incumbent will assure that all pertinent information is gathered and input into Vista timely, in order to provide a more complete and accurate patient information database. Responsible for the coordination of billing of Department of Labor worker's compensation cases, Tricare, ChampVA, Fugitive Felon, Ineligible Veteran, Allied Vet, Integrated Disability Evaluation System and Crime Victim. Provides guidance and assistance to management on activities involving first and third party reimbursement. Work Schedule:
Monday - Friday:
8:
00 AM - 4:
30 PM Compressed/Flexible:
Not Available Telework:
Not Available Position Description/PD#:
Financial Accounts Technician/11860-A Relocation/Recruitment Incentives:
Not Authorized Financial Disclosure Report:
Not required Bargaining Unit:
Yes To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/10/2019. 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-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. 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:
Must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-5) in Federal Service that equipped you with the knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the position to be filled. Specialized experience typically include, but are not limited to:
Program support work such as the billing, collection, customer service, financial reports, insurance identification and referral of cases to Utilization review, compilation, and/or tracking of data and program information in support of revenue. You will be rated on the following Competencies for this position:
CommunicationsComputer SkillsCustomer ServiceInsuranceMedical Information 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 requires no special physical demand other than routine bending, kneeling, and stooping. There will be extensive physical demand of constant typing on a keyboard, whether it be a PC/CRT. 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/.
Estimated Salary: $20 to $28 per hour based on qualifications.
Monday - Friday:
8:
00 AM - 4:
30 PM Compressed/Flexible:
Not Available Telework:
Not Available Position Description/PD#:
Financial Accounts Technician/11860-A Relocation/Recruitment Incentives:
Not Authorized Financial Disclosure Report:
Not required Bargaining Unit:
Yes To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/10/2019. 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-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. 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:
Must have at least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-5) in Federal Service that equipped you with the knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the position to be filled. Specialized experience typically include, but are not limited to:
Program support work such as the billing, collection, customer service, financial reports, insurance identification and referral of cases to Utilization review, compilation, and/or tracking of data and program information in support of revenue. You will be rated on the following Competencies for this position:
CommunicationsComputer SkillsCustomer ServiceInsuranceMedical Information 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 requires no special physical demand other than routine bending, kneeling, and stooping. There will be extensive physical demand of constant typing on a keyboard, whether it be a PC/CRT. 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/.
- Department:
0503 Financial Clerical And Assistance - Salary Range:
$45,917 to $59,698 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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