Medical Billing Specialist (Facility Reimbursement Manager)

Bring your experience in medical billing to the Department of Military & Veterans Affairs (DMVA)! We are seeking a compassionate individual to join our team in the Division of Fiscal Management. In this position, you will have a managing role in the reimbursement and medical billing programs in support of DMVA's Veterans Homes. Apply today to utilize your expertise in billing software, internal audits, and reviewing claims, and become a Medical Billing Specialist with the DMVA!

Watch this video to see how you can make a difference caring for Pennsylvania's veterans working for the Department of Military and Veterans Affairs. Come join the DMVA team, apply today!

As a Medical Billing Specialist, you will ensure that all revenue due to the Commonwealth is assessed, billed, and collected in accordance with established state, federal, and departmental policies and laws. In this role, you will be working with billing software and Microsoft Office. You can expect to provide consultative services regarding medical billing and reimbursements related to Medicare Part A, Medicare Part B, Medicare Part D, Medicaid, Pharmaceutical Assistance Contract for the Elderly (PACE), private insurance, and the U.S. Department of Veterans Affairs' (USDVA) catastrophic disability and aide/attendance benefits. You will maintain ongoing knowledge of billing for Medicare, Medicaid, and commercial insurance, as well as familiarity with MDS (Minimum Data Set). Additionally, you will travel to assigned homes to review procedures, provide guidance and training, and audit reimbursement activities.

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment, 37.5 hours per week
• Work hours are 8:30 AM to 4:30 PM, Monday - Friday, with a 30-minute lunch.
• Work Site: Location will be determined from one of the following, based on preference of selected candidate:
  • Delaware Valley Veterans' Home (Philadelphia County)
  • Gino J. Merli Veterans' Center (Lackawanna County)
  • Headquarters (Lebanon County)
  • Hollidaysburg Veterans' Home (Blair County)
  • Pennsylvania Soldiers' and Sailors' Home (Erie County)
  • Southeastern Veterans' Center (Chester County)
  • Southwestern Veterans' Center (Allegheny County)
• Telework: You may have the opportunity to work from home (telework) part-time, up to 5 days per 10-day pay period. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office based on your location.
• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

QUALIFICATIONS
Minimum Experience and Training Requirements:

• One year of experience as a Facility Reimbursement Officer (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or
• Six years of experience involving public contact in billing and collecting financial accounts or debts which includes one year of supervisory experience in billing and collecting financial accounts or debts; or
• Any equivalent combination of experience and training which includes one year of supervisory experience in billing and collecting financial accounts or debts. Completion of college-level work with major course work in business administration, finance, accounting, health care management, or a related field may be substituted for required non-supervisory experience on a year-for-year basis.

Special Requirement:

Other Requirements:

• You must pass a favorable National Crime Information Center (NCIC) screening for admittance to Fort Indiantown Gap. You must also maintain an Automated Installation Entry (AIE) card once it is issued.
• You must obtain and maintain a Commonwealth approved, valid medical billing certification within one year from the date of employment.
• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• You must be able to perform essential job functions.

Legal Requirement:

• A conditional offer of employment will require submission of criminal history reports. See hiring agency contact information.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

Telecommunications Relay Service (TRS):

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.