The Program Support Assistant (PSA) serves within the Revenue Operations (RO) Consolidated Patient Accounts Center (CPAC) Revenue Utilization Review (RUR) department and supports the nurse. The CPAC is a business line established to enhance revenue within the Veterans Health Administration (VHA) using an industry-best model built on regional management of key aspects of the revenue cycle, process standardization, accountability, and economies of scale. Reports to the CPAC RUR Nurse Manager.

Duties

Performs a broad range of duties to assist in achieving the RO/CPAC expected results for first and third party collections Make decisions/recommendations based on the development and evaluation from various sources. Make independent decisions in a wide variety of unique scenarios. Interpret payer review criteria to comply with various health plans and benefit languages. Adapt to continuing changes in program, technological developments and conflicting requirements. Use medical terminology to perform reviews of patient medical records for third party pre-certification process. Verify third party payer requirements for Veterans' insurance coverage. Respond appropriately to questions and inquiries from third party payers and internal customers. Exhibit flexibility and consideration when working with internal and external stakeholders. Reviews data analytics and metric expectations. Prioritize workload according to department need and leadership direction. Work Schedule: Monday -Friday 40 hrs./wk. Tour of Duty set based on organizational need Duty Location: Select the location(s) you want to be considered for. You must choose at least one location *** Hiring for 1 position *** Position Description Title/PD#: Program Support Assistant/PD05206A Physical Requirements: The work is mainly sedentary performed in an office environment.

Requirements

• You must be a U.S. citizen to apply for this job
• Subject to a background/suitability investigation
• May serve a probationary period
• Selective Service Registration is required for males born after 12/31/1959
• A complete application package; Resume, Transcripts, etc.
• Selected applicants will be required to complete an online onboarding process

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement. GS-06 grade level: One year of specialized experience (equivalent to the GS-05 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes: 1) Interprets payer review criteria to comply with various health plans and benefit languages. 2) Verifies Third-Party Payer requirements for insurance coverage. 3) Makes decisions/recommendations based on the development and evaluation of information that comes from various sources. 4) Uses various electronic processing programs, applications and computer systems to identify and resolve issues. 5) Uses medical terminology while performing reviews of patient medical records for the Third- Party pre-certification process. There is no educational substitution for the GS-06 level. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Education

This job does not have an education qualification requirement.

Contacts

• Address VA NCCPAC Madison 8001 Terrace Ave Middleton, WI 53562 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: [email protected]