This position is located in a Consolidated Patient Account Center (CPAC) in the organization of the Deputy Director of Operations serving as the Facility Revenue Manager (FRM) located on-site at a medical facility. The CPAC is a regionally consolidated business entity established to enhance revenue operations throughout the VHA network by consolidation of billing and collection activity supported by medical center based utilization review, data validation and customer service functions.

Duties

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. Monitor changes in Veteran eligibility that support the need to reset medications based on new SC/SA and/or means test changes where the Veteran is no longer medication co- payment required. Monitors that Veterans are credited for prescriptions filled at facilities for the purpose of the yearly co-payment cap by completing the Push Rx Copay Cap transaction. Monitors Held Charges and Days on Hold to ensure that co-payments are released timely and appropriately. Develops and provides monthly reports to the Health Information Management (HIM) Chiefs - Business Office Manager (or comparable position), Compliance. Monitors the closing and creation, set-up, naming conventions and stop code assignments of new clinics within a facility and determines their designation as High Dollar such as surgeries, chemotherapy, dialysis, etc. Reviews clinical information and obtains third-party insurer authorization for continuation of care and payment. Keeps abreast of clinical activities that have the potential to negatively affect revenue. Work Schedule: Monday - Friday 8:00 am to 4:30 pm Compressed/Flexible: May be available, pending supervisor approval 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#: Financial Management Spec/PD57798A and PD87429A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/20/2023. GS-09 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-09 position you must have served 52 weeks at the GS-07. 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-11 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. You may qualify based on your experience and/or education as described below: GS-09 Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: 1) Educate Veterans on service connection (SC) and/or special authority SA, repayment plans, hardships and waivers. 2) Assesses the financial position of the revenue program and areas affecting revenue generation. 3) Performs quality reviews to ensure staff are completing workload accurately and timely based on acceptable standards. 4) Performs auditing duties associated with either financial or operational audits of the revenue program and reviews the program's degree of compliance with sound fiscal internal control and quality management. 5) Develops and provides monthly reports to the Health Information Management (HIM) Chiefs - Business Office Manager(or comparable position), Compliance OR; GS-09: Substitution of Education for Experience (TRANSCRIPTS REQUIRED): Do you possess a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D.? if related Such education must demonstrate the knowledge, skills, and abilities necessary to do the work. OR, GS-09: Combination of Education and Experience (TRANSCRIPTS REQUIRED): Do you possess Equivalent combinations of successfully completed graduate education and specialized experience directly related to the work of the Financial Management Specialist position, may be substituted to meet the experience requirements for GS-09 position? GS-11 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: 1) Educate Veterans on service connection (SC) and/or special authority SA, repayment plans, hardships and waivers. 2) Assesses the financial position of the revenue program and areas affecting revenue generation. 3) Performs quality reviews to ensure staff are completing workload accurately and timely based on acceptable standards. 4) Performs auditing duties associated with either financial or operational audits of the revenue program and reviews the program's degree of compliance with sound fiscal internal control and quality management. 5) Develops and provides monthly reports to the Health Information Management (HIM) Chiefs - Business Office Manager(or comparable position), Compliance. 6) Advises and consults with counterparts and/or officials with higher authority concerning problems involving work in the revenue program and its' impact on education, training needs for staff. 7) Performs revenue validation functions such as filtering processes to determine billable encounters, tortfeasor/workers compensation, repetitive services, prosthetics, service-connected or non-service connected determination; tracking and pre-authorization of mental health encounters. Or; GS-11: Substitution of Education for Experience (TRANSCRIPTS REQUIRED): Do you possess a 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 Such education must demonstrate the knowledge, skills, and abilities necessary to do the work. Or; GS-11: Combination of Education and Experience (TRANSCRIPTS REQUIRED): Do you possess Equivalent combinations of successfully completed graduate education and specialized experience directly related to the work of the Financial Management Specialist position, may be substituted to meet the experience requirements for GS-11 position. You will be rated on the following Competencies for this position: CommunicationsComputer SkillsHealth Information ExchangeLeadershipMedical InformationTechnical 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: Duties are primarily performed in an office setting and are mostly sedentary with some physical exertion, such as walking, bending, stooping, and stretching. 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.

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]