Reimbursement Tech II

Title: Reimbursement Tech II

State Role Title: 19013

Hiring Range: Up to $50,000

Pay Band: 3

Agency: Dept Behavioral Health/Develop

Location: Central Office

Agency Website: www.dbhds.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Behavioral Health and Developmental Services (DBHDS) is seeking a highly qualified individual for the Reimbursement Technician II position located at Catawba Hospital in Catawba, VA. The incumbent, under minimal supervision, ensures maximum revenue collections are received for billing of acute inpatient psychiatric services for Medicare, Medicare Advantage plans, Medicaid, commercial insurance, and billing of Temporary Detention Orders (TDO). Primary duties include all aspects of third-party billing associated with acute psychiatric hospitalizations to include preparation of claims, as well as billing and follow up of claims until payment is received. The incumbent will create claims in both paper and electronic formats and track, resolve claim rejections, denials and under/over payments through appeals and resubmissions.

Minimum Qualifications

Considerable medical billing experience. Knowledge of insurance guidelines, including Medicare, Medicaid and commercial payers. Strong understanding of UB-04 billing format and billing requirements. Experience handling authorizations, claim denials and appeals. Strong understanding of compliance with HIPAA, federal/state billing guidelines and payer-specific policies.

Additional Considerations

Inpatient psychiatric facility billing experience.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

For consideration, interested applicants must apply by completing the online application. A resume may also be included with your submission. However, emailed, faxed, and hand-delivered applications and/or resumes will not be accepted. This position is open until filled; however, applications/resumes will begin to be reviewed within seven (7) business days of the date of this posting. Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act.

DBHDS welcomes all applicants authorized to work in the U.S. For more information on how to seek this authorization, please refer to Working in the United States or contact the U.S. Citizenship and Immigration Services office directly.

For any technical assistance with the jobs.virginia.gov website, please contact applicantinquiry@dhrm.virginia.gov.

Contact Information

Name: ShaKiera Miles

Phone: N/A

Email: shakiera.miles@dbhds.virginia.gov - Inquiries Only/No Submissions, to include resumes.

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.