CPAC provides a broad range of business services and oversight in support of VISN and VAMC operations that include: Billing (Inpatient, Outpatient, and Specialty Services); Collections (First and Third Party); Pharmacy Claims Processing; Accounts Receivable Management (Denials Management, Open Account Follow-up); Customer Service (First Party Debt Management); Financial and Performance Reporting; Patient Access (Preregistration); Insurance Identification and Verification; and Quality Assurance.

Duties

Duties Include: Implements training of process improvements and evaluates and monitors of performance measures for various revenue cycle activities. Monitors intake functions as related to revenue, and compliance. Analyzes complex problems, gathers, and collects the necessary information, establishes the facts, and takes or recommends actions. Interprets guidelines and uses independent judgment to best assist Veterans and their family members and comes to a resolution regarding their patient billing, eligibility, insurance and care provided at the VAMC or Community Care (CC) programs. Identifies potential billing cases and optimize collections for the CPACs. Monitors trends and patterns in the areas of Reason not Billable and denials. Monitors performance measures associated with the VHA revenue cycle to ensure maximization of collections and compliance with revenue activities. Maintains strong business relationship with the VAMCs and VISN(s) assigned using reporting tools and ongoing verbal and written communications. Assigns work to Facility Revenue Managers throughout the CPAC, based upon program priorities, subordinates' capabilities, and assignment requirements. Maintains standards for the performance, standardization, and consistency of work assigned to subordinate staff. Conducts periodic evaluations of the work performance of subordinates. Implements CPAC, VISN and VAMC policies and procedures that guide and support the delivery of revenue operations. Provides advice, counsel, or instructions to employees on administrative and technical matters. 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: Monday- Friday, 8:00am-4:30pm Telework: Available at the discretion of the supervisor Position Description/PD#: Supervisory Financial Management Specialist/PD73637A and PD89186A Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI): Not Approved 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, 08/02/2024. 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. For a GS-12 position you must have served 52 weeks at the GS-11. 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 as described below: Specialized Experience: GS-11: 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: Monitoring intake functions as related to revenue, and compliance. Assist Veterans and their family members regarding their patient billing, eligibility, insurance, and care provided at the VAMC or Community Care (CC) programs. Integrates and standardizes business functions that include but not limited to revenue data validation, customer service, revenue, and utilization review. Identifies potential billing cases and optimize collections for the CPACs. Monitors trends and patterns in the areas of Reason not Billable and denials. Monitor performance measures associated with the VHA revenue cycle to ensure maximization of collections and compliance with revenue activities. Maintains strong business relationship with the VAMCs and VISN(s) assigned using reporting tools and ongoing verbal and written communications. Assigns work, based upon program priorities, subordinates' capabilities, and assignment requirements. Conducts periodic evaluations of the work performance of subordinates. Implements CPAC, VISN and VAMC policies and procedures that guide and support the delivery of revenue operations. Provides advice, counsel, or instructions to employees on administrative and technical matters. OR, successfully completed a Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher-level graduate education leading to such a degree, or an LL.M. in a field related to this position OR, A combination of successfully completed doctoral level education and specialized experience to meet total experience requirements. NOTE: If using education combined with specialized experience to qualify, a copy of your transcript is required. Specialized Experience: GS-12: You must have one year of specialized experience equivalent to at least the next lower grade GS-11 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Monitoring intake functions as related to revenue, and compliance. Assist Veterans and their family members regarding their patient billing, eligibility, insurance, and care provided at the VAMC or Community Care (CC) programs. Integrates and standardizes business functions that include but not limited to revenue data validation, customer service, revenue, and utilization review. Identifies potential billing cases and optimize collections for the CPACs. Monitors trends and patterns in the areas of Reason not Billable and denials. Monitor performance measures associated with the VHA revenue cycle to ensure maximization of collections and compliance with revenue activities. Maintains strong business relationship with the VAMCs and VISN(s) assigned using reporting tools and ongoing verbal and written communications. Assigns work, based upon program priorities, subordinates' capabilities, and assignment requirements. Conducts periodic evaluations of the work performance of subordinates. Implements CPAC, VISN and VAMC policies and procedures that guide and support the delivery of revenue operations. Provides advice, counsel, or instructions to employees on administrative and technical matters. There is no education substitute for the GS-12 level. You will be rated on the following Competencies for this position: Analysis and Problem SolvingCommunications and MediaData ManagementLeadership 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 primarily sedentary, although some slight physical effort may be required. Work involves intense concentration for long periods of sitting with some walking. Must be able to work for long periods on a personal computer. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address VA NCCPAC Madison 8001 Terrace Ave Middleton, WI 53562 US
• Name: Demetrice Drake
• Phone: 804-847-9836
• Email: [email protected]