This position is in a Veteran Affairs Medical Center (VAMC) facility aligned with a Consolidated Patient Account Center (CPAC) organizationally under the Chief Operating Officer (COO). The CPAC is a regionally consolidated business entity established to enhance revenue within Veterans Health Administration (VHA) using an industry best model built on regional management of key aspects of the revenue cycle, process standardization, accountability, and economies of scale.

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. Duties include, but are not limited to, the following: 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 applicable to Veteran accounts; 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; Initiates, gathers, and processes 3rd party revenue actions related to legal case activities by applying appropriate and relevant guidelines; Receives workload from multiple worklist systems, electronic and mail notifications, VA specific internal and external data applications, emails, letters, and face-to-face customer service interactions; 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, Office of General Counsel (OGC), internal and/or 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; Provides accurate and proficient guidance to all customer groups regarding debt relief options such as formal repayment plans and waivers and interpreting 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

Requirements

Qualifications

To qualify at the GS-06 grade level, applicant(s) must meet the following: SPECIALIZED EXPERIENCE GS-06: At least one (1) year of specialized experience that equipped you 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-05 level in the Federal service. Specialized experience includes: providing accurate and timely billing and collection activities; researching, analyzing, generating and correcting patient co-payment bills and insurance for care as it pertains to a variety of healthcare programs and services.; and using independent judgment to best assist patients/customers and coming to a resolution regarding their patient/customer billing, eligibility, insurance and care and/or services provided. To qualify at the GS-07 grade level, applicant(s) must meet the following: SPECIALIZED EXPERIENCE GS-07: At least one (1) year of specialized experience that equipped you 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-06 level in the Federal service. Specialized experience includes: providing accurate and timely billing and collection activities; researching, analyzing, generating and correcting patient co-payment bills and insurance for care as it pertains to a variety of healthcare programs and services.; using independent judgment to best assist patients/customers and coming to a resolution regarding their patient/customer billing, eligibility, insurance and care and/or services provided; performing analysis of complex problems; and performing daily reviews, audits, and/or corrective actions. 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/Working Conditions: The work is primarily 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. The work is performed primarily in a office setting, with regular meetings and conferences at an office or conference site. 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 NECPAC Lebanon 734 1700 South Lincoln Avenue Lebanon, PA 17042 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: [email protected]