This position is located within the North Central Consolidated Patient Account Center (NCCPAC) in Middleton, WI. The Veterans Health Administration (VHA), Office of Finance has established seven Consolidated Patient Account Centers (CPACs) as part of an effort to enhance revenue operations throughout the VHA network. CPACs are designed to regionally consolidate business functions, standardize business operations, and integrate best practices from VHA and industry to the revenue cycle.

Duties

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** The position is located with the Quality Assurance (QA) Department, organizationally aligned under the CPAC Director, reporting to the QA Manager. Serves as a QA Program Analyst to conduct probes and ongoing systematic, data-driven reviews and analysis of VHA/CPAC revenue processes. The QA Program Analyst is responsible for ongoing monitors and reporting results to CPAC management and Revenue Operations (RO). Duties: Responsible for monitoring all functional revenue departments to support the delivery of consistent, efficient, and accountable revenue services across the VHA Revenue enterprise. Ensuring bills are paid at the appropriate level by insurance carriers and working with other CPAC departments to monitor denials of payment. Monitor compliance with national and regional payer agreements with insurance carriers to support revenue collections. Handling all phases of the billing process for pharmacy services team. Addresses inquiries from Veterans about their first party accounts, processes waivers and write-offs, repayment plans, bankruptcies, and death cases. Work Schedule: Monday to Friday, 8:00 am to 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.

Requirements

Qualifications

To qualify for this position, applicants must meet one of the following requirements: Specialized Experience: Possess at least one year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Consistently communicating and treating customers (patients, their representatives, visitors, and all staff) in a courteous, tactful, and respectful manner, providing information and assistance to other healthcare team members in order to improve the documentation, efficiency and effectiveness of operations, creating and maintaining database files needed to monitor and report on a wide range of system-related activities, reviewing and evaluating automated system error reports in order to develop graphic presentations of patterns trends, and other characteristics by carrier, organization, provider, etc. in order to provide constructive feedback for improvement to the appropriate source, identifying trends, patterns, and other characteristics in data that may provide opportunities for enhancements in policies, procedures, practices, and other operational activities to improve on the delivery of health care services. OR, Education Substitution: You must have successfully completed a Master's (or equivalent graduate degree), or do you possess two full years of progressively higher-level graduate education leading to such a degree, or do you possess an LL.B. or J.D. that is related to this position. Your graduate education must demonstrate that you have the knowledge, skills, and abilities necessary to do the work of this position as a Program Analyst. NOTE: Transcripts must be submitted at time of application. OR Combination of Education and Specialized Experience: Possess equivalent combinations of experience and education as described above to fully meet the requirements of this position. Only graduate education in excess of the amount required for the next lower grade level may be used to qualify applicants for positions at grades GS-9. NOTE: Transcripts must be submitted at time of application. You will be rated on the following Competencies as part of the assessment questionnaire for this position: Customer ServiceOrganizational Performance AnalysisQuality ManagementTechnical Credibility 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. 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

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

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: Recognition of Foreign Qualifications | International Affairs Office (ed.gov).

Contacts

• Address Consolidated Mail Outpatient Pharmacy - Murfeeboro 8001 Terrace Ave Middleton, WI 53562 US
• Name: VHA National Recruitment Center
• Phone: (844)456-5208
• Email: [email protected]