This position is located within the Consolidated Patient Account Center (CPAC) of the VA Medical Center in Palo Alto, CA, serving as a primary on-station contact for Veterans and Veteran stakeholders for billing and revenue related questions and research within the Veterans Health Administration (VHA).

Duties

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-07. At the GS-06 grade level, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-07. Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher-level work, and availability of funds. Major duties and responsibilities include: Cooperates with personnel within other organizational units in the wider employing organization (e.g., insurance verification, revenue utilization review, medical and prescription billing, Veteran services, denials management, outpatient pharmacy electronic claims, and/or accounts management) to solve revenue problems Performs 1st and 3rd party billing activity for Non-Medical Care Collections Fund (Non-MCCF) Determines whether a release of information (ROI) is needed and how to correctly document ROIs for billing purposes Obtains data and other information from VA-specific change notifications and ad-hoc reports to proactively or retroactively correct 1st and 3rd party billing Performs daily reviews, audits, and/or corrective actions in response to workload activities or requests received directly from Veteran customers, OGC, internal/external compliance and quality measurement and performance teams, and the VA Office of the Inspector General (OIG) Documents account status updates, transactions, decisions, and other actions for facility revenue billing and payment activities Reviews outpatient encounters, inpatient admissions and discharges, long-term care visits, etc. to gain requisite data necessary for 3rd party billing preparation Validates and maintains National Provider Identifier (NPI) information from the National Plan and Provider Enumeration System (NPPES) for care providers within the VAMC Provides accurate and proficient guidance to all customer groups regarding debt relief options such as formal repayment plans and waivers Interprets insurance policy coverages, VA eligibility benefits, and other factors that impact Veteran financial accounts for both 1st and 3rd Party billing Performs all other duties as assigned Work Schedule: Monday through Friday, 8:00am to 4:30pm 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.

Requirements

Qualifications

To qualify for this position at the GS-06 grade level, you must have: At least one (1) year of specialized experience equivalent to the next lower grade level (GS-05) in Federal Service, that has equipped you with the particular knowledge, skills, and abilities to successfully perform the duties and that is typically in or related to the work of this position. Specialized experience includes providing accurate and timely billing and collection activities to be completed in accordance within prescribed policies, regulations and laws; performs analysis of complex problems by gathering and collecting the necessary information, establishes facts, and takes or recommends actions based upon the application or interpretation of established guidelines. To qualify for tis position at the GS-07 grade level, you must have: At least one (1) year of specialized experience equivalent to the next lower grade level (GS-06) in Federal Service, that has equipped you with the particular knowledge, skills, and abilities to successfully perform the duties and that is typically in or related to the work of this position? Specialized experience includes independently providing accurate and timely billing and collection activities to be completed in accordance within prescribed policies, regulations and laws; performs analysis of complex problems by gathering and collecting the necessary information, establishes facts, and takes or recommends actions based upon the application or interpretation of established guidelines, uses independent judgment to best assist patients/customers to come to a resolution regarding their patient/customer billing, eligibility, insurance and care and/or services provided. 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 is performed mainly in a sedentary manner. Occasional walking, standing, reaching, and bending are required. The carrying of light items such as paper, folders, and files between desk and storage is common. The work requires long periods of interaction at computer terminals. 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 education 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]