This position is assigned to the Community Care Coordination Unit of Patient Business Service at the Dayton VA Medical Center, Dayton, Ohio. The primary function of this position is to provide support with the administrative and clerical operations of all Community Care consults, and coordination of all activities for Community Care.

Duties

Interviews applicants to elicit and provide information to determine eligibility and substantiate legal entitlement. Acts as the Liaison between the three other VAs in VISN 10 for Inter-Facility consultations and other specialty appointments at the Dayton VA. Responds to inquiries via Inter-Facility consults for clinical appointments, receives and handles telephone inquiries from numerous sources concerning authorization, consult status of Community Care, and patient transfers. Utilizes advanced skills working in Microsoft Excel, as a spreadsheet is maintained by the incumbent to track consults for timely scheduling in clinics at the Dayton VA. Registers the Veterans into the Dayton database in VISTA so Veteran can get scheduled for appointment or admitted to the hospital. Serves as the administrative point of contact in the request, coordination, and authorization for referrals to the community for non-VA care. Assists with the counsel of beneficiaries on application procedures, entitlement factors, and changes to entitlement that might initiate or alter benefits. Performs entitlement work related to the examination of the Community Care consults for administrative appropriateness as defined under the Code of Federal Regulations, National Fee Guidelines, and VHA Directives. Uses skills in establishing and maintaining effective working relationships with in -house professional staff, Non-VA care providers, and medical staff at outside VAs. Understands rules of scheduling, as this duty may be required. Prepares correspondences for the purpose of obtaining or supplying information; correspondence provides explanation of facts or actions taken or transmits requested material usually related to common requests or questions. Uses working knowledge of policies, regulations and procedures regarding Veterans healthcare programs, patient eligibility, and inpatient and outpatient processes in order to educate our customers (orally or in writing). Serves as primary and/or back-up timekeeper duties for the NVCC Unit. Other duties as assigned. Work Schedule: Monday through Friday, 7:30 a.m. to 4:00 p.m. Telework: May be available to a highly qualified applicant. Virtual: This is not a virtual position. Functional Statement #: 91539-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Experience and Education: Experience. Six months experience of clerical, office, [customer service], or other [administrative] work that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position; OR, Education. One year above high school; OR, Experience/Education Combination. Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable. Certification: None required. Grandfathering Provision: All MSAs employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series, and grade held, [which] are [a] part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) Such employees may be reassigned, promoted, or [changed to a lower grade] within the occupation. (2) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. (3) If an employee who was converted to [Title] 38 hybrid status under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. Foreign Education: To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-6 Advanced Medical Support Assistant (a) Experience. One year of experience equivalent to the [GS-5] grade level. Experience at the GS-5 includes but is not limited to: scheduling, cancelling, re-scheduling patients appointments and/or monitoring both inpatient and outpatient appointments for areas of responsibility, ensuring encounter forms are completed in order to obtain appropriate workload credit, verifying and updating demographics and insurance information, processing all emergency and non-emergency transfers to other VA facilities or private hospitals, performing basic eligibility, co-pays and preauthorization requirements for specific coverage, etc. Demonstrated Knowledge, Skills, and Abilities. Candidates must demonstrate [all of] the KSAs below: i. Ability to collaborate and communicate with a wide range of medical clinicians across multiple disciplines (e.g. medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting to ensure medical care to patients is met. ii. Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations. iii. Ability to communicate tactfully and effectively, electronically, by phone, in person, and in writing, with internal and external customers. This may include preparing reports in various formats and presenting data to various organizational levels, [as well as resolving patient concerns. iv. Advanced knowledge of the technical health care process (including, but not limited to, scheduling across interdisciplinary coordinated care delivery and/or care in the community models and patient health care portals) as it relates to access to care. v. Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care administrative functions to include, but not limited to appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc. vi. Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians. References: VA Handbook 5005/117, Part II, Appendix G45 The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is GS-6. Physical Requirements: Work is mostly sedentary; some periods of walking, bending, lifting or carrying of work related items. Normal safety precautions and practices are required for working in as healthcare environment.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Dayton VA Medical Center 4100 West Third Street Dayton, OH 45428 US
• Name: Tina George Osweiler
• Phone: (937)268-6511
• Email: [email protected]