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Medical Reimbursement Technician

Department of Veterans Affairs
Veterans Health Administration
730-Mid Atlantic Consolidated Patient Account Center
This job announcement has closed

Summary

Join the Mid Atlantic CPAC team in Asheville, North Carolina. Asheville is the largest city in Western North Carolina and the county seat of Buncombe County. The city is located in the heart of the magnificent Blue Ridge Mountains and is known for its natural beauty and friendly people. We are home to the beautiful Biltmore Estate and welcome all people to come visit.

Overview

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Reviewing applications
Open & closing dates
07/15/2025 to 07/22/2025
Salary
$44,959 to - $58,445 per year
Pay scale & grade
GS 6
Location
Few vacancies in the following location:
Asheville, NC
Remote job
No
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
None
Supervisory status
No
Security clearance
Other
Drug test
No
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Financial disclosure
No
Bargaining unit status
Yes
Announcement number
CBZY-12666596-25-DJ
Control number
840733300

This job is open to

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Clarification from the agency

Open only to current, permanent Department of Veterans Affairs employees and Career Transition Assistance Plan (CTAP) eligibles. Area of Consideration (AOC) 1st AOC: CTAP Eligibles. 2nd AOC: Current permanent employees at Station 730 or its satellite locations. 3rd AOC: Current permanent employees of the Department of Veterans Affairs.

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Duties

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***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


Work Schedule: 8:00am-4:30pm Monday-Friday
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/PD36017A
Relocation/Recruitment Incentives: Not Authorized
Critical Skills Incentive (CSI): Not Authorized

Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not Authorized

Requirements

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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
  • You may be required to serve a probationary period
  • Subject to background/security investigation
  • Selected applicants will be required to complete an online onboarding process

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/22/2025.

(GS-06 Only) 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-06 position you must have served 52 weeks at the GS-05. 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 announcement. In 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 as described below:

GS-06 Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-05 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:

  1. Follows instructions about timeliness, objectives and relative priorities for doing administrative work.
  2. Communicates with other staff as necessary to discuss administrative concerns.
  3. Reviews and determine the appropriateness of administrative data.
  4. Validates claims for billing purposes ensuring eligibility and referring questionable coding for review.
  5. Interprets insurance policies and requirements for billing.


You will be rated on the following Competencies for this position:
  • Customer Service (Clerical/Technical)
  • Decision Making
  • Manages and Organizes Information
  • Self-Management
  • Technical Competence


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 Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

There is no educational substitution at this grade level.


Additional information

Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. 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.

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


If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Narrative responses are not required at this time. If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview. Your resume and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document.

Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position.

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

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.

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