Reimbursable Billing Technician

For GS-06 Specialized Experience: Possess at least one (1) full year of specialized experience, which equips you with the knowledge, skills, and abilities to perform successfully the duties of the (Reimbursable Billing Technician), GS-06 position, and that is typically in or related to the work of the position to be filled. To be creditable, this specialized experience must have been equivalent to the grade GS-05 level in Federal service to qualify at the grade GS-06.

Examples of specialized experience include:1)Provides customer service to meets the needs of the customer.2)Provides patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence.3)Identifies, reviews, analyzes, process and completes co-payments and insurance encounters and other billing related activities.4)Independently reviews and processes all specialty billing encounters.5) Reviews, analyzes, researches, and verifies insurance policy coverage, filing time frames, Coordination of Benefits (COB) information and certification requirements for secondary billing.

Note: Evidence of specialized experience must be supported by detailed documentation of duties performed in positions held on your resume. You must provide work experience information such as hours per week, salary, and starting/ending dates of employment (month and year format) to establish you have one (1) full year of Specialized Experience at or comparable to the required grade level. Reviews, analyzes, researches, and verifies insurance policy coverage, filing time frames, Coordination of Benefits (COB) information and certification requirements for secondary billing.

For GS-07 Specialized Experience: Possess at least one (1) full year of specialized experience, which equips you with the knowledge, skills, and abilities to perform successfully the duties of the (Reimbursable Billing Technician), GS-07 position, and that is typically in or related to the work of the position to be filled. To be creditable, this specialized experience must have been equivalent to the grade GS-06 level in Federal service to qualify at the grade GS-07.

Examples of specialized experience include:1)Provides customer service to meets the needs of the customer.2)Provides patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence.3)Initiates, gathers, and processes 3rd party revenue actions related to legal case activities by applying appropriate and relevant guidelines.4)Researches and recognizes data for dialysis billing to 3rd party insurance companies using a specified patient claims information system database.5) Conducts assigned ad hoc corrective projects, answers questions, and solves agency revenue account problems.6) Assists in synchronizing and the operationalization of all revenue activities.7) Accesses various menu options to identify, review, analyze, process and complete co-payments and insurance encounters and billing related activities.

Note: Evidence of specialized experience must be supported by detailed documentation of duties performed in positions held on your resume. You must provide work experience information such as hours per week, salary, and starting/ending dates of employment (month and year format) to establish you have one (1) full year of Specialized Experience at or comparable to the required grade level. Reviews, analyzes, researches, and verifies insurance policy coverage, filing time frames, Coordination of Benefits (COB) information and certification requirements for secondary billing.

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/.