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 Community Care 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 to 4:00pm Position Description Title/PD#: Program Support Assistant/PD70208A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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. DIRECT HIRE AUTHORITY: This position is being filled using Direct-Hire Authority (5 CFR 337.201) for this occupation.

Requirements

• You must be a U.S. citizen to apply for this job
• Subject to a background/suitability investigation
• May serve a probationary period
• Selective Service Registration is required for males born after 12/31/1959
• A complete application package; Resume, Transcripts, etc.
• Selected applicants will be required to complete an online onboarding process
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement. 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: collecting, compiling, and/or tracking data and statistical information to monitor service line programs or initiatives; utilizing computer software systems to store and retrieve electronic documents and files; creating and formatting letters, reports, and memoranda; screening calls and visitors; scheduling appointments and arranging meetings; ordering and maintaining supplies for an office. 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. Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. Physical Demands and Working Conditions: The work is mostly sedentary. However, there may be some walking, standing, and carrying of light items such as papers, books, and files from one desk to another or for returning to storage. 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 AD-HOC telework. Telework eligibility will be discussed during the interview process.

Education

There is no educational substitution for the GS-06 level

Contacts

• Address VA Nebraska-Western Iowa HCS - Omaha 4101 Woolworth Avenue Omaha, NE 68105 US
• Name: Kristine Cariaga
• Phone: 612-629-7570
• Email: [email protected]