Medical Affirmative Claims Technician
$ 57,070 - $ 74,196 / month
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- Responsible for identifying potential third party recovery actions by reviewing various medical records, reports, and media sources.
- Establish and implement procedures in accordance with applicable Service regulations to facilitate the exchange of information necessary to support Medical Affirmative Recovery activities.
- Research Medical Data Registry for proof of eligibility, verifying appointments and proper coding of each clinic visit and admission.
- Research and follow up with all types of contacts based on medical third party insurance or medical coverage.
- Generate medical claims forms with accurate cost computation.
- Conduct research on radiology, laboratory, and pharmacy charges for additional billing needs.
Requirements
Conditions of Employment
- Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.
- Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
- This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment.
- This position has a mandatory seasonal influenza vaccination requirement and is therefore subject to annual seasonal influenza vaccinations.
- This position requires to obtain and maintain a Financial Management Level 1 Certification within 24 months of employment.
Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the education and/or experience requirements described below. 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). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is .
Specialized Experience: One year of specialized experience which includes experience researching medical records to determine billable encounters; and experience generating medical claims; and experience researching medical records. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-6).
In order to qualify, you must meet the education and/or experience requirements described below. 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). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is .
Specialized Experience: One year of specialized experience which includes experience researching medical records to determine billable encounters; and experience generating medical claims; and experience researching medical records. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-6).
Education
Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Additional information
- Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
- You will be required to provide proof of U.S. Citizenship.
- One year trial/probationary period may be required.
- Direct Deposit of Pay is required.
- Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
- Recruitment or relocation incentives MAY be authorized for highly qualified candidates.
- Multiple positions may be filled from this announcement.
- Salary includes applicable locality pay or Local Market Supplement.
- If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an.
- If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the information sheet.
- Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
- Information may be requested regarding the vaccination status of selectees for the purposes of implementing workplace safety protocols. For more information, visit
- Benefits
Conditions of Employment
- Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.
- Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
- This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment.
- This position has a mandatory seasonal influenza vaccination requirement and is therefore subject to annual seasonal influenza vaccinations.
- This position requires to obtain and maintain a Financial Management Level 1 Certification within 24 months of employment.
Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the education and/or experience requirements described below. 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). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is .
Specialized Experience: One year of specialized experience which includes experience researching medical records to determine billable encounters; and experience generating medical claims; and experience researching medical records. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-6).
In order to qualify, you must meet the education and/or experience requirements described below. 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). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is .
Specialized Experience: One year of specialized experience which includes experience researching medical records to determine billable encounters; and experience generating medical claims; and experience researching medical records. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-6).
Education
Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Additional information
- Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
- You will be required to provide proof of U.S. Citizenship.
- One year trial/probationary period may be required.
- Direct Deposit of Pay is required.
- Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
- Recruitment or relocation incentives MAY be authorized for highly qualified candidates.
- Multiple positions may be filled from this announcement.
- Salary includes applicable locality pay or Local Market Supplement.
- If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an.
- If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the information sheet.
- Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
- Information may be requested regarding the vaccination status of selectees for the purposes of implementing workplace safety protocols. For more information, visit