The position is in the Veterans Health Administration (VHA) Office of Finance's Revenue Operations and aligned with a Consolidated Patient Account Center (CPAC). Through the VHA Chief Financial Officer (CFO), VHA's Office of Finance serves in a mission critical role as the principal financial advisor to the Under Secretary for Health (USH). The office has an overarching responsibility for VHA budget development and allocation.

Duties

The FRTs are the primary CPAC agents for revenue charges for internal 3rd (e.g., other revenue operations personnel/organizations, VAMC staff, private -sector provider offices) and for external 1st party stakeholders (e.g., Veterans and/or their family members, VAMC staff, VSOs) in alignment with the VA and CPAC mission. The FRT evaluates the revenue - specific data and implements the most responsive and cost-effective means of preparing 3rd party revenue data for clean claims processing by the CPAC Billing Department. Determines whether a release of information (ROI) is needed and how to correctly document ROIs for billing purposes. Collaborates with the local VAMC eligibility and enrollment services and VA Health Eligibility Center staff to ensure Veteran customer accounts needing corrective action are addressed. Reviews and researches Veteran insurance policy coverage to prepare and process revenue billing and collection from 3rd party insurance providers. Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. Work Schedule: 40 hours per week, Monday - Friday Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Position Description/PD#: Reimbursable Billing Technician/PD45154A and PD45155A

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/19/2023. GS-6 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-6 position you must have served 52 weeks at the GS-5. 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. GS-7 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-7 position you must have served 52 weeks at the GS-6. 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. You may qualify based on your experience and/or education as described below: GS 6 Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-5 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Independently researches, analyzes, generates, and corrects co-payments for care as it pertains to a variety of complex programs. Accesses various menu options to identify, review, analyze, process and complete co-payments and insurance encounters and billing-related activities. Assists in synchronizing and the operationalization of all revenue activities. Applies analytical and evaluation techniques to determine if co-payment bills are appropriate. Provides independent investigation, judgment, calculation, and correction of co-payments that utilize multiple information system. GS 7 Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-6 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Independently researches, analyzes, generates, and corrects co-payments for care as it pertains to a variety of complex programs. Accesses various menu options to identify, review, analyze, process and complete co-payments and insurance encounters and billing-related activities. Assists in synchronizing and the operationalization of all revenue activities. Applies analytical and evaluation techniques to determine if co-payment bills are appropriate. Provides independent investigation, judgment, calculation, and correction of co-payments that utilize multiple information system. Reviews, analyzes, researches, and verifies insurance policy coverage, filing time frames, COB information and pre-certification requirements for insurance billing associated with care. Independently identifies, analyzes, researches, and verifies patient visit information in multiple computer systems to identify insurance billable episodes of care. Note: Evidence of specialized experience must be supported by detailed documentation of duties performed in positions held on your resume. You must provide work experience information such as hours per week, salary, and starting/ending dates of employment (month and year format) to establish you have one (1) full year of Specialized Experience at or comparable to the required grade level. You will be rated on the following Competencies for this position: Customer Service (Clerical/Technical)InsuranceOrganizational AwarenessTechnical Competence 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: The work is performed mainly in a sedentary manner. Occasional walking, standing, reaching, and bending are required. The carrying of light items such as paper, folder, and files between desk and storage is common. The work requires long periods of interaction at computer terminals. 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

There is no educational substitution at this grade level.

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 VA NECPAC Lebanon 734 1700 South Lincoln Avenue Lebanon, PA 17042 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: [email protected]