Medical Reimbursement Technician

Quick Facts

• Role: Medical Reimbursement Technician
• Focus: Insurance verification, medical billing, and reimbursable/non-reimbursable collections
• Schedule: Monday–Friday, 8:00am–4:30pm
• Telework: May be authorized; discussed during the interview

Description

Support medical reimbursement operations by validating claims, confirming eligibility and coverage, and ensuring billing accuracy. You will contact payers for benefits and authorization requirements, review patient demographics and insurance information, and complete Medicare reimbursable billing in compliance with coding and payer requirements. The role also includes handling billing inquiries, documentation, and discrepancy resolution using office software and electronic systems.

Responsibilities

• Validate claims for billing purposes, ensure eligibility, and refer questionable coding for review
• Contact insurance companies to confirm coverage, benefits, deductibles, copays, coinsurance, and authorization requirements
• Review patient demographic and insurance information for accuracy
• Obtain and document prior authorizations when required
• Perform Medicare reimbursable billing activities according to applicable requirements
• Interpret third-party insurance policies and contractual billing provisions
• Review and verify insurance coverage and eligibility for billing
• Review billing and account information to determine accuracy and appropriateness
• Respond to inquiries and correspondence related to billing, insurance coverage, and account status
• Process medical billings in accordance with diagnostic and procedural coding requirements
• Use Microsoft Access, Excel, and Word for insurance verification, billing, and administrative functions
• Organize and complete assigned work within established timelines and priorities
• Perform other related duties as assigned

Requirements

• U.S. Citizen
• Complete all application steps, including an online assessment
• Selective Service Registration required for males born after 12/31/1959
• Subject to background/security investigation
• Complete online onboarding with acceptable identification (REAL ID compliant required starting May 7, 2025)
• Participate in the seasonal influenza vaccination program
• Ability to perform light physical demands (standing, walking, bending)
• Serve a 1-year probationary period
• GS-5 qualification: 1 year specialized experience (GS-4 equivalent) OR 4 years accredited post-high school education OR combination of education and specialized experience
• GS-6 qualification: 1 year specialized experience (GS-5 equivalent); no education substitution
• If using education to qualify, submit transcripts; education must be from accredited institutions

Benefits

A federal career provides a comprehensive benefits package. Eligibility for benefits depends on the type of position and whether the role is full-time, part-time, or intermittent.