The employee will serve as a Financial Accounts Technician (OPECC), at the Consolidated Patient Account Center (CPAC), in Las Vegas, NV. The CPAC provides a broad range of business services in support of VA medical center operations that include: Billing; Collections; Customer Service; Financial Reporting; Insurance Identification and Verification; Patient Access (Pre-Registration, Registration, Pre-Certification, Scheduling, and Utilization Review); and Quality Assurance.

Duties

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties include, but may not be limited to the following: Ensure claims are submitted in various formats to meet specific requirement of appropriate insurance carriers to improve collections. Receive and respond to a variety of written and oral communication generated by third party pharmacy payers. Review, research and analyze account receivable records by utilizing various databases. Perform analysis on outstanding pharmacy third party receivables to ensure proper debt collections. Perform claims submission related to prescription drugs provided for beneficiaries. Verify benefits, policy information, pre-certification requirements, insurance contact information and effective dates of insurance policies. Make determinations on best course of action regarding billing and accounts management to affect maximum recovery. Follows all federal laws, national guidelines and agency policies regarding debt collections. Perform other duties as assigned. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm Recruitment & Relocation Incentives: Not authorized. 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: Applicants must possess at least one (1) year of specialized experience that equipped them with the particular knowledge, skills, and abilities to perform successfully the duties of this position, and that is typically in or related to the work of this position. To be creditable, this experience must have been equivalent to at least the GS-5 level in the Federal service. Specialized experience includes: making determinations on best course of action regarding billing and accounts management to affect maximum recovery; providing billing, accounts management and insurance verification functions; submitting claims; reviewing, researching and analyzing account receivable records by utilizing various databases; running multiple reports; and performing follow-up procedures through phone calls, on-line data bases and letters to insurance companies and customers. You will be rated on the following Competencies as part of the assessment questionnaire for this position: Analytical ThinkingOrganizational Performance AnalysisPrinciples of FinanceTechnical 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 is primarily sedentary, although some slight physical effort may be 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

NOTE: There is no substitution of education for specialized experience at the GS-6 grade level; therefore, it is not necessary to submit transcripts.

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]