Title: Reimbursement Tech II (Billing)

State Role Title: Admin Office Spec III

Hiring Range: $43,000-$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) Office of Cost Accounting and Reimbursement is seeking a highly motivated individual for the Reimbursement Technician II position in the Reimbursement Office at Western State Hospital in Staunton, VA or Catawba Hospital in Catawba, Va. This position ensures maximum revenue collections are received for billing of acute inpatient psychiatric services for Medicare, Medicare Advantage plans, commercial insurance, and billing of Temporary Detention Orders (TDO). Additional 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; creating claims in both paper and electronic formats; third-party verifications; facilitating authorizations of client hospital stays to ensure eligibility of third-party coverage is accurately documented; and working in an automated Practice Management System.

Minimum Qualifications

• Knowledge of third-party insurance billing.
• Knowledge of State and Federal collections laws.
• Extensive mathematical and analytical skills.
• Experience with Microsoft Office, with a concentration in Word and Excel.
• Experience with automated accounts receivable systems.
• Excellent time management skills, with the ability to work with minimal supervision.
• Excellent verbal and written communication skills, as well as exceptional customer service skills with internal and external customers.
• Ability to work both as an acting and contributing team member and independently.
• Ability to establish and maintain effective working relationships.
• Ability to organize/prioritize workload to complete duties within specified timeframes.
• Ability to meet deadlines and adapt to changes in work priorities.

Additional Considerations

• Experience working in a health care environment.
• Hospital/inpatient billing experience.

DBHDS is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, gender identity, sexual orientation, national origin, political affiliation, disability, genetic information, age, retaliation, parental status, pregnancy, military service/status, or other non-merit factor. We commit to a diverse and inclusive workforce that is reflective of the Commonwealth of Virginia.

In addition, the Commonwealth of Virginia/DBHDS offers excellent health and life insurance benefits, access to Short-Term (STD) and Long-Term (LTD) Disability benefits, twelve (12) paid holidays and other leave benefits, and a state retirement plan with options for tax-deferred retirement savings including employer matching.

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.

This position is eligible for telework opportunities; availability, hours, and duration of telework shall be approved as outlined in the Commonwealth telework policy.

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: Shruti Tawar

Phone: N/A

Email: shruti.tawar@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.