This position is in the Veterans Health Administration (VHA) Office of Finance's Revenue Operations and aligned with a Consolidated Patient Account Center (CPAC) and is located in Roseburg, OR

Duties

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Major Duties: Works with others to solve revenue problems. Determines whether a release of information (ROI) is needed and how to correctly document ROIs for billing purposes. Preforms daily reviews, audits, and/or corrective actions in response to workload. Documents account status updates, transactions, decisions and other actions for facility revenue billing and payment activities. Processes internal actions to overturn claim denials proactively or reactively from insurance carriers. Reviews outpatient encounters, inpatient admissions and discharges, long-term care visits, workers' compensation data/information and specialty (i.e., not in conformance with standard billing requirements) encounters to gain requisite data necessary for 3rd party billing preparation. Prepares specialty-specific 3rd party billing transactions. Performs others duties as assigned. Work Schedule: 8:00am-4:30pm Monday-Friday Recruitment & Relocation Incentives: Not authorized Critical Skills Incentive (CSI): Not Approved 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. Financial Disclosure Report: Not Required

Requirements

Qualifications

SPECIALIZED EXPERIENCE: You must possess at least one (1) year of specialized experience equivalent to at least the next lower grade level (GS-5) in the Federal service. Specialized experience is medical billing and collection experience. Examples of qualifying specialized experience include: performing eligibility determination; reviewing and processing co-payments and insurance documents; verifying insurance policy coverage and requirements for secondary billing; resolving health revenue collection problems; and applying knowledge of standard medical terminology for review of coding requirements for billing purposes. You will be rated on the following Competencies as part of the assessment questionnaire for this position: Customer Service (Clerical/Technical)InsuranceOrganizational AwarenessTechnical Competence IMPORTANT: A full year of work is considered to be 35-40 hours of work per week. All experience listed on your resume must include the month and year start/end dates. 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. 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; religious; 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. Physical Requirements: The work primarily is sedentary, although some slight physical effort may be required. Some work may require walking, carrying light supplies/work records, utilizing telephone, fax, computer, copier and other standard office equipment. Occasional travel for training or attendance at national meetings is also required. 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.

Contacts

• Address VA WCPAC Las Vegas 736 1085 Palm Airport DR Las Vegas, NV 89119 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: [email protected]