Medical Reimbursement Technician

Quick Facts

• Role: Medical Reimbursement Technician

Description

Verify insurance coverage and process reimbursable billing for inpatient and outpatient services. Validate claims for eligibility, manage third-party collections and accounts receivable, and resolve payment discrepancies. Use medical coding knowledge to validate coding for billing accuracy and respond to inquiries from veterans and insurance companies.

Responsibilities

• Verify insurance coverage for inpatient and outpatient services; update information and maintain automated databases

• Document pre-admission requirements

• Perform reimbursable billing activities for professional and facility services

• Validate claims for billing eligibility

• Manage third-party collections and accounts receivable

• Verify accuracy of payments, resolve discrepancies, and close out accounts

• Respond to questions from veterans and insurance companies; explain eligibility and entitlements

• Audit accounts to ensure timely posting of recovered payments

• Apply medical coding knowledge (e.g., ICD-9, CPT/4) to validate coding for billing

Requirements

• U.S. citizenship

• Complete all required steps, including an online assessment

• Selective Service registration for males born after 12/31/1959

• Subject to background/security investigation

• Complete online onboarding and provide acceptable identification (REAL ID compliant requirements apply effective May 7, 2025)

• Participate in the seasonal influenza vaccination program

• Ability to complete a 1-year probationary period with required certification

• Qualifications: 1 year specialized experience equivalent to GS-4 in Federal service OR 4 years of education above high school OR an acceptable combination of education and specialized experience

Benefits

Comprehensive federal employee benefits package for eligible employees (specific benefits depend on position type).