Vacancy Identification Number (VIN): 12149322. Please read this announcement in its entirety before beginning the application process to ensure you submit all the required documents. See Required Document sections in this announcement before applying. Please read the application questionnaire before applying: https://apply.usastaffing.gov/ViewQuestionnaire/12149322. Federal Resume Tips, Please READ

Duties

This job opportunity announcement (JOA) will be used to fill one (1) full-time and permanent Medical Management Specialist, GS-0301-11, vacancy with the Business Office Service at the Louisville, KY VA Medical Center. The incumbent is responsible for the administration of all patient support activities including registration, enrollment, eligibility, emergency transportation (ambulance), after-hours administrative and emergency operations, data integrity and validation, outreach, decedent affairs, beneficiary travel, administrative and technical support in direct patient care areas, telephone and information reception operations, bed management, and Health Information Management (HIMS) including Release of Information, Medical Coding, Clinical Documentation Improvement, Scanning, and Medical Records throughout the entire facility and eight CBOCs. The incumbent performs key duties in the areas of program management analysis, administration, and coordination of these programs/activities as well as to the lower supervisory and lead positions. Responsibilities primarily encompass strategic planning and directing, as well as management and coordination of all Business Office activities involving front-line interaction with Veterans and the public in accordance with all established federal, legal, regulatory, and policy directives at the VAMC. S/he will analyze trends and processes, coordinate with process improvement specialist(s) and/or teams to improve processes, and ultimately improve patient care programs in the organization. The incumbent provides a high level of administrative support to Business Office, senior leadership, and clinical services. The primary function of this position is to provide leadership guidance and direction in Beneficiary Travel, Decedent Affairs, Emergency and Special Mode Transportation, Medical Administrative Assistants (MAA), Enrollment, Eligibility, Data Integrity and Validation, HIMS, Clinic Profile Management, and telephone operations and to provide support to the section's supervisors. Major duties include but are not limited to:

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/12/2023. Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-11 position you must have served 52 weeks at the GS-09. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. In addition to the time in grade requirements listed above, the below qualification requirements must be met at the grade in which you are applying. You may qualify based on your experience as described below: Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-09 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Broad knowledge and experience in the field of health care administration and delivery systems for the provision and execution of outpatient care. Extensive knowledge of VA regulations and laws governing VA medical benefits and of care and the overall programs related to the health care delivery system; the Privacy Act; Joint Commission Standards, Health Insurance Portability and Accountability Act (HIPAA), state and federal laws. In-depth knowledge of the substantive programs and organizational structure of the VAMC to gather information, analyze data and develop and write detailed reports. Knowledge of medical eligibility and public law pertaining to health care for Veterans, billing for medical services provided, state and local laws for billing activity. Knowledge, sufficient to manage and lead staff who routinely support registrations, scheduling, coding, revenue, transportation, and scanning including but not limited to VISTA, VS GUI (VSE), Insurance Capture Buffer (ICB), Patient Check-In (PCI), Enrollment System (ES), Veteran Benefits Management System (VBMS), and ROI-Plus. Knowledge and skill in applying analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of program operations. Broad knowledge and experience in the field of outpatient administration, benefits and eligibility, medical records, and related fields of medical administration. Develop and apply financial management techniques and methodologies to plan, execute, and review programs within the Business Office. Ability to deal with a variety of individuals with tact and diplomacy. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have Ph.D. or equivalent doctoral degree or 3 full years of progressively higher-level graduate education leading to such a degree or LL.M., if related. (TRANSCRIPTS REQUIRED). OR, Combination: Applicants may also combine education and experience to qualify at this level. You must possess equivalent combinations of successfully completed graduate level education (in excess of the first two years or 36 semester hours) and specialized experience to meet total experience requirements. NOTE: Transcripts must be submitted with your application materials. Education cannot be credited without documentation (TRANSCRIPTS REQUIRED). You will be rated on the following Competencies for this position: Administration and ManagementFinancial ManagementOrganizational Performance AnalysisPlanning and EvaluatingQuality Assurance 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. Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements: Will be exposed to demanding working situations that will require a mature attitude and collective reasoning to overcome. The incumbent can be expected to observe high volume of work, a constant need for accuracy, frequent of interruptions and evolving demands due to program changes. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

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

Contacts

• Address Robley Rex VA Medical Center 800 Zorn Avenue Louisville, KY 40206 US
• Name: David Mason
• Phone: 304-669-0978
• Email: [email protected]