Program Support Assistant (health Benefits Advisor)

Company: Veterans Affairs, Veterans Health Administration
Location: Prescott
Posted on: May 3, 2021

Job Description:

SummaryThe Northern Arizona VA Health Care System is currently recruiting for one (1) Program Support Assistant (Health Benefits Advisor) to work in the Patient Business Office (PBO) Service Line in the Enrollment and Eligibility office, Prescott, Arizona. The incumbent provides have the responsibility for determinations of eligibility, entitlement in accordance with federal regulations for Veterans seeking health care services at the Department of Veterans Affairs in NAVAHCS. Learn more about this agency Responsibilities. The eligibility process has a definite impact on the overall mission of this VA facility. In that capacity, provides a full range of administrative support duties such as collecting data and preparing various one-time and recurring reports. Work requires comprehensive knowledge of rules, regulations and other guidelines relating to completing assignments in the program area assigned. Duties include but are not limited to the following:Determine eligibility and legal entitlement of all applications for medical benefits for inpatient hospitalization, outpatient medical services, dental services, nursing home care, domiciliary services, vocational rehabilitation, ChampVA, and TRICARE services.Serve as the primary point of contact for the medical staff and other services in advising them on the basis of eligibility determinations.Advise Veterans of changes in laws and regulations, as they occur, which impact or change Veteran's medical plete all required 10-1OEZ forms to process an application for care.Enter data into the VistA computer system for all patients applying for care i.e. demographic data, employment data, military history, and financial and insurance information.Enter information into VistA computer system, generates an administrative and medical record chart complete with bar coding.Once eligibility is determined, enroll Veterans to the VA health care system and assigns appropriate facility (CBOC or medical center).Ensure that local and network policies are being followed consistent with national policies. Capture insurance information on all Veterans and their spouses for third party claims i.e. through the initial interview process, telephonic contact with the Veteran, spouse and/or their representative. Obtain data and prepares annual Means Test and RX Co-pay exemption on Veterans as required.Review VA form 10-1OEZR and other financial worksheets to determine completeness of all required forms.Provide information and explanation to Veterans, co-workers and staff pertaining to the means test and the RX Co-pay exemption as requested.Serve as the point of contact at the HEC (Health Eligibility Center) for downloading financial and/or demographic data from HEC to update pose and types letters, memorandums and forms to accomplish above duties and compile statistical data for recurring and non-recurring reports.Work Schedule: Monday - Friday 8:00am - 4:30 pmVirtual: This is not a virtual position.Position Description/PD#: Program Support Assistant (Health Benefits Advisor)/PD06689ARelocation/Recruitment Incentives: Not AuthorizedFinancial Disclosure Report: Not required Travel Required Not requiredSupervisory status No Promotion Potential 5 Job family (Series) 0303 Miscellaneous Clerk And Assistant Similar jobs Assistants, Office Office Assistants Help Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job Designated and/or random drug testing may be required Selective Service Registration is required for males born after 12/31/1959 You may be required to serve a probationary period Subject to background/security investigation Selected applicants will be required to complete an online onboarding process Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 04/20/2021.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-05 position you must have served 52 weeks at the GS -4. 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.NOTE: Excepted Service employees must meet interchange agreement to compete for competitive service positions.You may qualify based on your experience and/or education as described below:Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS -4 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to:utilizing medical terminology, automation software (examples; medical software and Excel, spreadsheets and databases); and providing determination of eligibilities in a medical setting. OR,Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have 4 years above high school education.You will be rated on the following Competencies for this position:Attention to DetailClericalManages and Organizes InformationTechnology ApplicationExperience 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 mostly sedentary. However, the position requires some walking, standing, bending and carrying of light items such as books and papers.For more information on these qualification standards, please visit the United States Office of Personnel Management's website at EducationA 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: 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: Additional informationVA 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.Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.Special Employment Consideration: VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more. Contact the Agency Contact for information on how to apply under this appointment authority via the Selective Placement Coordinator.The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced Federal/VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting current position, grade level, and duty location) and be found well-qualified for this vacancy. To be well-qualified: applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors..... click apply for full job details

Keywords: Veterans Affairs, Veterans Health Administration, Prescott , Program Support Assistant (health Benefits Advisor), Other , Prescott, Arizona