Medical Reimbursement Technician

***THIS IS NOT A VIRTUAL POSITION YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***

• Validate claims for billing purposes ensuring eligibility and referring questionable coding for review.
• Submit claims to 3rd party health Insurance Carriers with knowledge of Medicare coverage benefits.
• Interprets third party insurance policies and requirements for billing.
• Take responsibility for Medicare reimbursable billing activities.
• Follow instructions about timeliness objectives and relative priorities for doing work.
• Handle conflicting goals objectives priorities time-lines and deadlines.
• Exhibit flexibility in adapting to changing demands within specific time lines.
• Accept and completes work provided by a standardized control system such as batched work caseload level or other defined structure.
• Use a wide range of office software applications such as Microsoft Access Excel and Word.
• Compose correspondence on a situational basis.
• Process billings using ICD-10-MC CPT/4 and HCPCS codes timely.

Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory qualification and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Work Schedule: Monday-Friday 08:00am-04:30pm
Compressed/Flexible: May be discussed to meet the needs of the agency

Virtual: This is not a virtual position.
Position Description/PD#: Medical Reimbursement Technician/PD36018A and PD36017A
Recruitment Incentives: Authorized

Conditions of employment

• You must be a U.S. Citizen to apply for this job
• Selective Service Registration is required for males born after 12/31/1959
• Subject to background/security investigation
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)

As a condition of employment for accepting this position you will be required to serve a 1-year probationary period or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public determining if your employment advances the public interest we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your probationary period or trial period your employment will be terminated unless you receive certification in writing that your continued employment advances the public interest.

Qualifications

To qualify for this position applicants must meet all requirements by the closing date of this announcement 02/05/2026.

Time-In-Grade Requirement: 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 by the closing date of this announcement. For a GS-6 position you must have served 52 weeks at the GS-5. The grade may have been in any occupation but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year it may not clearly demonstrate you possess one-year time-in-grade as required by the this instance you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.

Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment.

You may qualify based on your experience and/or education as described below:

Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-5 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include but are not limited to:

• Follows instructions about timeliness objectives and relative priorities for doing administrative work.
• Communicates with other staff as necessary to discuss administrative concerns.
• Reviews and determine the appropriateness of administrative data.

OR

• Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have 4 years above high school.

OR

• Combination: Applicants may also combine education and experience to qualify at this level. You must have a combination of specialized experience and education beyond 4 years above high school.

Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-06 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include but are not limited to:

• Follows instructions about timeliness objectives and relative priorities for doing administrative work.
• Communicates with other staff as necessary to discuss administrative concerns.
• Reviews and determine the appropriateness of administrative data.

• Validates claims for billing purposes ensuring eligibility and referring questionable coding for review.
• Interprets insurance policies and requirements for billing.

You will be rated on the following Competencies for this position:

• Arithmetic/Mathematical Reasoning
• Customer Service
• Flexibility
• Integrity/Honesty
• Interpersonal Skills
• Reasoning
• Teamwork

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; religions; 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.

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.

Physical Requirements: The work is primarily sedentary with long periods of sitting at a desk working with computers daily. Some work may require walking in offices and similar areas for meetings. Work may also require walking and standing in conjunction with travel to and attendance at meetings and conferences away from the worksite. The work does not require any special physical effort.

For more information on these qualification standards please visit the United States Office of Personnel Managements website at