Medical Reimbursement Technician

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.

Specialized Experience (GS-5): At least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-4) that has given you the knowledge, skills and abilities required to successfully perform the duties of a Medical Reimbursement Technician. Specialized experience includes follows instructions about timeliness, objectives, and relative priorities for doing administrative work; communicates with other staff as necessary to discuss administrative concerns; and reviews and determine the appropriateness of administrative data.

OR
Education: Successfully completed four (4) years of education above the high school level in any field which high school graduation or the equivalent is the normal prerequisite. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. One year of full-time academic study is defined as 30 semester hours, 45 quarter hours, or the equivalent in a college or university, or at least 20 hours of classroom instruction per week for approximately 36 weeks in a business, secretarial, or technical school.
NOTE: If you select this option, you must submit a copy of your transcript with your application. Education cannot be credited without documentation.

OR
Combination: Equivalent combinations of successfully completed post-high school education (beyond the second year) and specialized experience, as described above, which meet the total experience requirements for this grade level. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university.
NOTE: If you select this option, you must submit a copy of your transcript with your application. Education cannot be credited without documentation.

Specialized Experience: (GS-6) At least one (1) full year of specialized experience equivalent to at least the next lower grade level (GS-5) that has given you the knowledge, skills and abilities required to successfully perform the duties of a Medical Reimbursement Technician. Specialized experience includes: follows instructions about timeliness, objectives and relative priorities for doing administrative work; communicates with other staff as necessary to discuss administrative concerns; and reviews and determines the appropriateness of administrative data; validates claims for billing purposes ensuring eligibility and referring questionable coding for review; and Interprets insurance policies and requirements for billing.

You will be rated on the following Competencies as part of the assessment questionnaire for this position:

• Customer Service (Clerical/Technical)
• Decision Making
• Manages and Organizes Information
• Self-Management
• Technical Competence

IMPORTANT: A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. 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.

Physical Requirements: Position is sedentary, may require some physical effort such as, periods of standing, walking, or bending. There are no special physical demands

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/.