Lead Medical Reimbursement Technician

Veterans Health Administration • Smyrna, TN

8d • Onsite

About The Position

The incumbent serves as a primary Veteran-facing liaison for the CPAC organization, responding to telephone, mail-in, and other patient inquiries. The role explains the cost recovery program, including its regulations, procedures, and policies, in plain language. It processes Veteran requests and reimbursement-related matters, supports repayment plans, collects and analyzes data, and provides education and assistance to Veterans and their families about program requirements, benefits, and financial responsibilities. The position also ensures information is entered accurately and promptly in automated systems and trains or arranges training for team members in team-building methods and techniques.

The work schedule is 8:00 a.m. to 4:30 p.m. Compressed or flexible scheduling, telework, and virtual work are not authorized. This is a permanent federal position. Relocation and recruitment incentives, a Critical Skills Incentive, and Permanent Change of Station are not authorized.

Requirements

• U.S. citizenship.
• Meet the GS-07 time-in-grade requirement, if applicable: 52 weeks at GS-06 for current or former federal employees subject to the requirement.
• One year of specialized experience equivalent to at least GS-06, including experience collecting, compiling, or tracking data for statistical, financial, or administrative reports; resolving customer inquiries courteously; handling billing-level adjustments, remedies, corrections, and first-party copayment debt resolution; following up with customers; and communicating professionally and respectfully.
• Complete the required application, questionnaire, and online assessment.
• Males born after December 31, 1959, must be registered with Selective Service.
• Complete the required background/security investigation and online onboarding process and provide acceptable identification for pre-employment requirements.
• Participate in the seasonal influenza vaccination program as a Department of Veterans Affairs Health Care Personnel requirement.
• Serve a one-year probationary period or two-year trial period, as applicable.
• No educational substitution is available at this grade level.

Responsibilities

• Respond to Veteran inquiries received by telephone, mail, and other channels, explaining cost recovery programs, regulations, procedures, and policies in plain language.
• Process Veteran requests, including waiver and compromise requests, and verify that required documentation is complete.
• Prepare public vouchers for processing and handle refund reviews, pre-payments, claims matching, rated eligibility, CBI Blast reports, eligibility audit requests, and held charges.
• Prepare paperwork and death notices for General Counsel review.
• Establish repayment plans in VistA and monitor them to ensure monthly payments are received.
• Collect, analyze, and prepare data for processing.
• Determine the amount of credit to apply to a Veteran's account and document it with an electronic comment.
• Provide patient education and assistance by telephone or written correspondence to help Veterans and their families understand program requirements, benefits, and financial responsibilities.
• Gather and enter pertinent information into automated systems accurately and promptly.
• Train or arrange training for team members in team-building methods and techniques for completing tasks or projects.

Benefits

• Federal employees receive a comprehensive benefits package, with benefits available to the employee and family; specific eligibility depends on position type.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed