Lead Medical Reimbursement Technician

The incumbent serves as one of the primary customer (Veteran) facing liaisons for the CPAC organization; responding to telephonic, mail-in, and other patient inquiries received to include explaining the complexities of the cost recovery program, regulations, procedures, and policies in layman's terms.

Major duties

Processes all veteran requests including waiver and compromise requests to include verification of complete required documentation. Prepares public vouchers for processing; processes refund reviews; pre-payments; claims matching; rated eligibility; CBI Blast reports; eligibility audit requests from Vista reports/messages, Veterans or other VA entities, PRM DMC/TOP; held charges; prepares paperwork for General Counsel review; prepares death notices for General Counsel review. Establishes repayment plans in VistA and furthermore monitors the plans to ensure monthly payments are being received. Collect, analyze, and prepare data for processing. Will determine as to the amount of credit given to offset the Veteran's account and properly annotate with electronic comment. Provides patient education and assistance via telephone or written correspondence concerning one or more of the programs administered in order to assist Veterans and their families understand program requirements, benefits, financial responsibilities. Insures that all pertinent information is gathered and entered into automated systems in a timely and accurate manner. Train or arrange for the training of team members in methods and techniques of team building and working in teams to accomplish tasks or projects. Work Schedule: 8:00am - 4:30pm Compressed/Flexible: Not Authorized Telework: Not Authorized Virtual: This is not a virtual position. Position Description/PD#: Lead Medical Reimbursement Technician/PD04559A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS): Not Authorized

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/26/2026. 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-07 position you must have served 52 weeks at the GS-06. 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 and/or education as described below: GS-07 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:

• Collects, compiles and/or tracks data for the preparation of statistical, financial and/or administrative reports on an ad hoc or recurring basis.
• Determines the best course of action to resolve majority of inquiries while providing courteous service.
• Responsible for all aspects of the billing level adjustment, remedy and correction actions, and overall resolution of 1st party co-payment debt.
• Conducts follow-up contact with customers through telephonic, electronic, or written media to insure all services provided were proficiently provided and appropriate.
• Communicates and treats customers, representatives, stakeholders, visitors, and all staff in a professional, courteous, tactful, and respectful manner.

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. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Requirements

You must be a U.S. Citizen to apply for this job To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Selective Service Registration is required for males born after 12/31/1959 Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required. 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification 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 interest. In 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, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.