The Program Support Assistant will examine consults, authorize care in a Non-VA Care setting and develop claims cases and/or determine entitlement/non-entitlement of benefits, under the supervision of the Non-VA Care supervisor. This position is organizationally aligned to the Non VA Care division of the Business Office located at the Veterans Affairs Nebraska-Western Iowa Health Care System in Omaha, NE.

Duties

Duties include but are not limited to: The Program Support Assistant maintains control of 1358 obligations by calculating estimated costs per authorization/episode of care based on monthly reports provided by Non-VA Care Supervisor and ensures that all assigned fund control point activities and transactions are posted on a regular basis. Audits fee service invoices for accuracy and rejects or denies non-allowable items. Coordinates payment of per diem charges and medications for admissions to Contract Nursing Homes. Requests updated veteran information, including eligibility verification through the HINQ database, VA Form 10-7131 from the VA Regional Office and / or by telephone and written correspondence. Communicate with veterans, veterans' family, veterans' represen1atives, and physicians including those within the private sector and those within the VA. Reviews incoming mail and appropriately distinguishes which Fee Program claims are associated with, verify and distribute claims in FBCS as well as approves payment and/ or denies those veterans' claims found ineligible. Prepares authorizations for appropriate validity periods and mail or fax to vendors and veterans. Work Schedule: Monday - Friday 7:30am - 4:00pm 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. Virtual: This is not a virtual position. Position Description Title/PD#: Program Support Asst (OA)/PD70208A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Bargaining Unit Status: Yes Financial Disclosure Report: Not required The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement. You may qualify based on your experience and/or education as described below: GS-06 grade level: One year of specialized experience (equivalent to the GS-05 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 is not limited to: Serving as the main point of contact for internal and external customers; utilization of office automation software packages; data entry; collecting, compiling an tracking data and information; reviewing reports to assist with estimate costs per authorization/episode of care. You will be rated on the following Competencies for this position:Attention to DetailClericalCommunicationsComputer SkillsExperience 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 mostly sedentary. However, there may be some walking, standing, and carrying of ight items such as papers, books, and files from one desk to another or for returning to storage. No special physical demands are 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 Nebraska-Western Iowa HCS - Omaha 4101 Woolworth Avenue Omaha, NE 68105 US
• Name: Meghan Brooks
• Phone: 515-699-5999 X23402
• Email: [email protected]