Veterans Affairs, Veterans Health Administration MEDICAL REIMBURSEMENT TECHNICIAN in Middleton, Wisconsin

Veterans Affairs, Veterans Health Administration
2 vacancies in the following location:
  • Middleton, WI
Work Schedule is Full Time - Permanent

Opened Tuesday 10/18/2016 (6 day(s) ago)

** Closes Monday 10/24/2016 (0 day(s) away)

Job Overview

Vacancy ID: 1824288

OUR MISSION: To fulfill President Lincoln’s promise – “To care for him who shall have borne the battle, and for his widow, and his orphan” – by serving and honoring the men and women who are America’s Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

The Department of Veterans Affairs (VA) needs employees who possess the energy, compassion, and commitment to serve those who served our Country. Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of truly special and deserving people - our Veterans. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your Country's service. If you are transitioning from the military or a Veteran already, we invite you to explore the benefits of continuing your career at the VA. The VA is committed to hiring Veterans.

The VA is much more than just another employer. It is an honorable, open and welcoming community of those who care. Gratitude is our motivation and service is our mission.

The VA has adopted Core Values and Characteristics that apply universally across the Department. The five Core Values define “who we are,” our culture, and how we care for Veterans, their families and other beneficiaries. The Values are Integrity, Commitment, Advocacy, Respect and Excellence (“I CARE”).

America's Veterans need you! To find out more, go to


This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-6. At the GS-5 grade level, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-6. Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher level work, and availability of funds.

The Medical Reimbursement Technician will be working at the North Central Consolidated Patient Account Center (CPAC) in Middleton, Wisconsin. This position is located in the Chief Business Office (CBO) Revenue Operations department. You will be responsible for performing a broad range of duties for medical billing and reimbursement, and non-reimbursable collections.

Major duties and responsibilities include (but are not limited to):

  • Performing insurance verification for inpatient and outpatient services;

  • Documenting pre-admission requirements, and identifying patients requiring second opinions;

  • Responsible for all reimbursable billing activities including consideration of professional and facility services, sharing agreements, Tricare, Champ VA, Medicare, and pharmacy billing;

  • Validating claims for billing purposes ensuring eligibility, and referring questionable coding for review;

  • Responsible for third party collection from insurance companies, and for accounts receivable including humanitarian, DoD, Tricare, tort feasor, workman's compensation, fugitive felon, ineligible, CHAMP VA, and no-fault auto accidents;

  • Performing research, resolving problems, and posting payments, adjustments, denial codes, and non-payment collections;

  • Performing follow-ups on accounts receivable;

  • Verifying accuracy of payments, resolving discrepancies, and closing and auditing accounts.


Travel Required
  • Not Required
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • You must be a U.S. citizen to apply for this job
  • You may be required to serve a probationary period
  • Background investigation may be required
  • Selective Service Registration is required for males born after 12/31/1959

To qualify for this position at the GS-5 T-6 level, you must possess at least one of the following Minimum Qualifications requirements:


Carefully read the following descriptions of experience and/or education. Select the one that best describes your qualifications for the GS-5 T-6 Medical Reimbursement Technician, position based on your current level of experience and/or education. Make sure your resume supports the response you select.

I have at least one (1) year of specialized experience and education directly related to this position. To be creditable, this experience and education must have been equivalent to at least the next lower grade level in the Federal Service that is directly related to the position. Specialized experience includes: Qualifying specialized experience includes: Assisting in performing medical billing, and reimbursable, and non-reimbursable collections, utilizing the International Statistical Classification of Diseases and Related Health Problems (ICD-9), Current Procedural Terminology (CPT) and the Health Care Common Procedural Coding System (HCPCS) to ensure accurate billing; Utilizing automated databases to verify insurance coverage; Assisting in processing third party collections from insurance companies and accounts receivables; Assisting in validating claims, and posting payments, readjustments, and denial codes; Utilizing a wide range of software applications such as Microsoft Access, Excel and Word to prepare documents; and Reconciling payment discrepancies.


Four (4) years of successfully completed (4) years above high school level in any field. This education must have been obtained in an accredited business, secretarial or technical school, community college, junior college, college or university. (COPY OF OFFICIAL/UNOFFICIAL TRANSCRIPTS REQUIRED)


equivalent combination of creditable experience and education as described above to meet the total qualification requirements for this position at the next lower grade level. This education must have been obtained in a college or university. (COPY OF OFFICIAL/UNOFFICIAL TRANSCRIPTS REQUIRED)

You will be rated on the following Knowledge, Skills, Abilities, and Other characteristics (KSAOs) as part of the assessment questionnaire for this position:

  • Knowledge of laws, rules, regulations, policies, and related directives regarding eligibility.

  • Knowledge of a full range of health care support functions and operations.

  • Ability to plan and organize diverse work activities with often conflicting deadlines and priorities.

  • Ability to communicate effectively.


The work may require some physical effort such as, periods of standing, walking, or bending. There are no special physical demands.

The work is performed in an office setting that involves everyday risks or discomforts. Normal safety precautions are required.

For more information on these qualification standards, please visit the United States Office of Personnel Management's website at

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. If your resume does not support your questionnaire answers, we will not allow credit for your response(s).

NOTE: A full year of work is considered to be 35-40 hours of work per week. 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.

PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: All education claimed by applicants will be verified by the appointing agency accordingly. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Veteran's Preference: When applying for Federal jobs, eligible veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of DD-214(s) showing all dates of service as well as character of service (honorable, general, etc.). Additionally, veterans with service-connected disability of 10% or more must also submit a copy of their official statement from the Department of Veterans Affairs, or from a branch of the Armed Forces, certifying their service-connected disability and/or their receipt of compensation for service-connected disability. If the military member is within 120 days of separation and does not yet have a DD214, the member may instead submit any written document from the armed forces that certifies the service member is expected to be discharged or released from active duty service in the armed forces under honorable conditions not later than 120 days after the date the certification is signed.

Veterans with service-connected disability of less than 10%, non service-connected disability, and Purple Heart recipients, as-well-as those claiming derived preference for a spouse, widow or widower, or natural mother, should refer to and submit a completed " SF15, "Application for 10-Point Veteran Preference," (go to and required documentation with your application materials. For more information on Veterans' Preference, please visit

Security Clearance


Additional Information
What To Expect Next

After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USAJOBS account and clicking on “Application Status.” For a more detailed update of your status, click on “more information.” Information regarding applicant notification points can be found in the USAJobs Resource Center.


VA offers a comprehensive benefits package. This link provides is an overview of the benefits currently offered:

VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.

The Federal Government has special excepted appointing authorities for persons with qualifying disabilities, such as Schedule A. Specific information can be found at IMPORTANT: If you would like to receive consideration as a Schedule A applicant, you must contact the Human Resources office at the facility where this position is located at (785)350-3911.

Other Information

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced Federal competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting current position, grade level, and duty location) and be found well-qualified (have a final rating of 85 or more) for this vacancy. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at

VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This job opportunity announcement may be used to fill additional vacancies.

Salary Range: $32,318.00 to $42,012.00 / Per Year

Series & Grade: GS-0503-05/05

Promotion Potential: 6

Supervisory Status: No

Who May Apply: United States Citizens

Control Number: 453503500

Job Announcement Number: ANS-17-MZA-1824288-BU