- Position Title
- Lead Medical Reimbursement Technician
- Agency
- Veterans Health Administration
- Announcement Number
- CBZY-11529904-22-SP Opens in new window
- Open Period
- Wednesday, June 8, 2022 to Wednesday, June 29, 2022
For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.
Eligibilities
1.
Are you currently employed by the Department of Veterans Affairs?
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50). Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted). Please be aware that award SF-50's do not always include this pertinent information.
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50). Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted). Please be aware that award SF-50's do not always include this pertinent information.
2.
Are you an employee of the facility indicated for this position?
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50). Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted). Please be aware that award SF-50's do not always include this pertinent information.
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.
To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50). Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted). Please be aware that award SF-50's do not always include this pertinent information.
3.
Are you a current or former federal employee displaced from the agency hiring for this position? If yes, confirm:
For more information, review the USAJOBS Help Center.
To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice or a Proposed Removal/Separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
- you are located in the same local commuting area of the vacancy; AND,
- you are applying to a position that is at or below the grade level of the position from which you were or will be separated; AND,
- your grade is equivalent to or below the grade level of the vacancy; AND,
- your last performance rating of record is at least fully successful or the equivalent.
For more information, review the USAJOBS Help Center.
To verify your eligibility, you must submit supporting documentation such as a Reduction in Force (RIF) separation notice or a Proposed Removal/Separation notice to include your latest performance rating (if the notice does not have this information included, you must submit a copy of your most recent performance appraisal) and a copy of your latest Notification of Personnel Action, Standard Form 50.
Preferences
1.
Which of the following items describes your current or recent (within the last five years) political appointee service?
If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
Resume Reminder- Your resume must include the following information for each job listed:
Recommended: Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications.
- Job title Duties (be as detailed as possible)
- Month & year start/end dates (e.g. June 2007 to April 2008)
- Full-time or part-time status (include hours worked per week)
- Series and Grade, if applicable, for all Federal positions you have held
Recommended: Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications.
Accuracy of Application Reminder:
By submitting your application, you are certifying, to the best of your knowledge and belief, all the information submitted by you with your application for employment is true, complete, and made in good faith, and that you have truthfully and accurately represented your work experience, knowledge, skills, abilities and education (degrees, accomplishments, etc.). The information you provide as part of your application may be investigated. You are also certifying, and acknowledging, that misrepresenting your experience or education, or providing false or fraudulent information in, or with your application, may affect your eligibility for appointment and/or continued employment. False or fraudulent statements may be punishable by fine or imprisonment (18 U.S.C. 1001).
By submitting your application, you are certifying, to the best of your knowledge and belief, all the information submitted by you with your application for employment is true, complete, and made in good faith, and that you have truthfully and accurately represented your work experience, knowledge, skills, abilities and education (degrees, accomplishments, etc.). The information you provide as part of your application may be investigated. You are also certifying, and acknowledging, that misrepresenting your experience or education, or providing false or fraudulent information in, or with your application, may affect your eligibility for appointment and/or continued employment. False or fraudulent statements may be punishable by fine or imprisonment (18 U.S.C. 1001).
Assessment 1
Current Federal Employees Critical Note: Please provide your most recent SF-50 and your latest Within Grade Increase or Promotion SF-50 as well. The most recent SF-50 allows us to verify your current status, appointment, agency and/or duty station to confirm your Eligibility to Apply; The latest WIGI or Promotion SF-50 allows us to verify Time in Grade (TIG). Without these, we are unable to verify these requirements and you could be deemed unqualified for not meeting Area Of Consideration, Time In Grade or not providing the proper documentation for us to do so.
ALL APPLICANTS Critical 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 at least 52 weeks one (1) full year of Specialized Experience at or comparable to the required grade level. Failure to provide the required information on your resume to accurately assess your experience may result in being deemed unqualified for this position. Information on building federal resumes can be found at: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/
ALL APPLICANTS Critical 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 at least 52 weeks one (1) full year of Specialized Experience at or comparable to the required grade level. Failure to provide the required information on your resume to accurately assess your experience may result in being deemed unqualified for this position. Information on building federal resumes can be found at: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/
Please choose the answers below that best describe your employment and experience.
1.
GS-07 - Time-in-Grade Restriction - 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.
For this vacancy, applicants must have held a grade GS-06 or higher for at least a year to be eligible for the GS-07. The grade must have been held in the Federal service but may have been in any occupation.
(If you have not held a GS grade at any time in the past 52 weeks, this restriction does not apply to you.)
Please select the response below that most accurately describes you:
For this vacancy, applicants must have held a grade GS-06 or higher for at least a year to be eligible for the GS-07. The grade must have been held in the Federal service but may have been in any occupation.
(If you have not held a GS grade at any time in the past 52 weeks, this restriction does not apply to you.)
Please select the response below that most accurately describes you:
Select “Yes” or “No” to the following question(s).
2.
GS-07 Specialized Experience: Do you possess at least one (1) full year of specialized experience, which equips you with the particular knowledge, skills, and abilities to perform successfully the duties of the Lead Medical Reimbursement Technician (Billing/IV), 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 GS-06 level in Federal service to qualify at the GS-07.
Examples of specialized experience include:
Examples of specialized experience include:
- Track, review and correct claims denials.
- Process third party collection and reimbursement actions.
- Coordinate completion of forms with patients, administrative staff and providers.
- Verifies health insurance coverage.
- Validate claims for billing purposes, ensuring eligibility and referring questionable coding for review.
Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided.
3.
Conduct all reimbursable billing activities.
4.
Ensure that all billable cases are identified and bills are generated.
5.
Track, review and correct claims denials.
6.
Process third party collection and reimbursement actions.
7.
Validate claims for billing purposes, ensuring eligibility and referring questionable coding for review.
8.
Ensure proper sequencing of diagnostic and procedural codes.
9.
Audit accounts, insuring payments recovered by insurance carriers are posted in a timely manner to accounts.
10.
Coordinate completion of forms with patients, administrative staff and providers.
11.
Perform follow up on explanations of benefits received from third party carriers.
12.
Instruct employees in specific tasks and job techniques and make available written instructions, reference materials and supplies.
13.
Report to supervisor on performance, progress and training needs of employees.
14.
Distribute and balance the workload among employees in accordance with established work flow.
15.
Keep in touch with the status and progress of work and make day-to-day adjustments in accordance with established priorities.
16.
Instruct employees in specific tasks and job techniques and make available written instructions, reference materials and supplies.
17.
Report to supervisor on performance, progress and training needs of employees.
18.
Resolve simple, Informal complaints of employees and refer others to supervisor.
Select “Yes” or “No” to the following question(s).
19.
VERIFICATION STATEMENT: Your rating is subject to verification based on the resume, narratives, and other relevant documents you submit, and through verification of references as appropriate. Deliberate attempts to falsify information are grounds for non-selection and for termination. In addition, falsifying information on your application can result in your being barred from federal employment.
Please choose A to certify that your answers are accurate and complete.
Please choose A to certify that your answers are accurate and complete.