The primary function of this position is to make eligibility determinations for VA healthcare which requires an extensive knowledge of VA laws, directives, policies and procedures. They will also be responsible for running data reports for unverified status of applications, incomplete encounter management errors due to any administrative data input and updating demographic information.

Duties

The incumbent has varied range of duties related to the enrollment and eligibility and benefits and travel to determination of Veterans Maintain a through and up to date knowledge of the rules and regulations, and policies and procedures in determining eligibility of Veterans for VA Healthcare Advises applicant of the health care benefits they are legally entitled to in person or over the phone, initiates administrative process for establishing care, and notifies appropriate healthcare personnel accordingly Respond to technical question regarding patients' administrative rights and situational eligibility for healthcare and provide patients with administrative advice and guidance Provide Veterans both verbal and written information regarding non-medical benefits and refers Veterans to area VBA Benefits Counselors for claims as appropriate Respond to complex questions involving regulations and/or beneficiary entitlements and communicated results to patients, families, agency employees, and Veterans' organizations Handle questions and/or concerns ensuring that quality service is rendered in a timely, complete and empathetic manner Verifies· eligibility for care utilizing primary sources including but not limited to the Health Eligibility Center (HEC), Hospital Inquiry HINQ, VIS and ES military discharge papers, DD214 Communicates through data systems, verbally and electronically with the REC on a regular basis by providing accurate eligibility and enrollment information Serves as the Veteran's initial contact with the Medical Center. He/ She enrolls the Veteran by inputting information from the 10-1 0EZ Form into VISTA. In addition to the advisement of health care benefits Processes re-enrollment into the system and assist Veterans. He/ She connect Veterans with other program areas as needed Correspond with national contacts to resolve processing and conflicts that require action the Heath Eligibility Center Interacts with the entire Enrollment System Redesign (ESR) website to electronically enroll Veterans, a process recently mandated down to the local level in 2015, by inputting all required registration information Other duties as assigned Work Schedule: Monday - Friday; 8:00 am - 4:30 pm Position Description Title/PD#: Health Benefits Assistant/PD01660A Physical Requirements: The work is primarily a sedentary position. Typically, the employee sits comfortably to do the work. But, there may be some walking, standing, bending, carrying of light items such as papers, books, small items, etc. No special physical demands are required to perform the work. Concentration and sustained performance under potential stress of accuracy and deadlines is required because of factors involved in completion of various complex work assignments. Virtual: This is not a virtual position Driver License: Current, Valid Driver License Relocation/Recruitment Incentive: Not Authorized Financial Disclosure Report: Not Required

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-05 grade level: One year of specialized experience (equivalent to the GS-XX 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, but are not limited to: Knowledge of laws and regulations; customer service skills, interacting with patients and hospital staff, respond to customer requests, updating and verifying demographic information, creating electronic medical files, knowledge of Microsoft Work, Microsoft Excel and Outlook; provide administrative support to staff, meets and greets customers to determine the specific need, maintains adherence with all workplace security policies and regulations ensuring work completed done within established guidelines, responds to customer requests and follow up OR Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have 4 years above high school. OR Combination: Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond. Applicants may also combine education and experience to qualify at the GS-05 level.To calculate, first identify the percentage of required education you have earned (when substituting, you cannot use the first 60 semester hours that you earned). Then identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify at the GS-05. For example, an applicant who has 9 semester hours of graduate level education (i.e. 50% of graduate education required) and 6 months of creditable specialized experience (i.e. 50% of the required experience) would equal 100% of the required experience for the position A transcript must be submitted with your application if you are basing all or part of your qualifications on education. 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. ****All required documentation must be uploaded before the announcement closes, to support eligibility.**** Failure to submit documentation will constitute the application being categorized as incomplete and therefore ineligible for referral.

Education

A legible 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.

****All required documentation must be uploaded before the announcement closes, to support eligibility.****

Failure to submit documentation will constitute the application being categorized as incomplete and therefore ineligible for referral.

Contacts

• Address Wilmington VA Medical Center 1601 Kirkwood Highway Wilmington, DE 19805 US
• Name: Katrina Paul
• Phone: (412) 822-3584
• Email: [email protected]