Reimbursable Billing Technician

To qualify at the GS-6 level you must meet the following:

For the GS 6 position you must possess one (1) year of specialized experience equivalent to at least next lower grade level (GS 5). Specialized experience includes but is not limited to: Providing customer service to meets the needs of the customer; Providing patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence; Identifying, reviewing, analyzing, processing and completing co-payments and insurance encounters and other billing related activities; Reviewing and processing all specialty billing encounters; Reviewing, analyzing, researching, and verifying insurance policy coverage, filing time frames, coordination of benefits (COB) information and certification requirements for secondary billing. Note: Resume must clearly support the duties and experience required for this position. We will not make assumptions regarding experience.

To qualify at the GS-7 level you must meet the following:

For the GS 7 position you must possess one (1) year of specialized experience equivalent to at least next lower grade level (GS 6). Specialized experience includes but is not limited to: Providing customer service to meets the needs of the customer; Providing patient education to a diverse customer base utilizing telephone, face to face, electronic or written correspondence; Initiating, gathering, and processing third (3^rd) party revenue actions related to legal case activities by applying appropriate and relevant guidelines; Researching and recognizing data for billing to 3rd party insurance companies using a specified patient claims information system database; Determining the best course of action for both external and internal customer co-payments, insurance and pharmacy billing and other benefit-related activities involving the use of many different methods and resources.; Providing sufficient information to determine the required or most appropriate actions to take or opt in to benefits or privileges, afforded to patients under Federal law and/or Regulations. Note: Resume must clearly support the duties and experience required for this position. We will not make assumptions regarding experience.

You will be rated on the following Competencies as part of the assessment questionnaire for this position:

• Customer Service (Clerical/Technical)
• Insurance
• Organizational Awareness
• Technical Competence

IMPORTANT: A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. 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.

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; religious; 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.

Physical Requirements: The work primarily is sedentary, although some slight physical effort may be required. Some work may require walking, carrying light supplies/work records, utilizing telephone, fax, computer, copier and other standard office equipment. Occasional travel for training or attendance at national meetings is also required.

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/.