Health Benefits Asst
Incumbent is responsible for ensuring all veterans eligible for enrollment in the database are properly enrolled through the Health Eligibility Center and all registrations are complete with no missing data (inconsistencies). This information serves as a base for determining entitlement to medical care as well as bill preparation and collections on all billable episodes of inpatient and out patient care. Accurate and complete data collection is essential to proper processing of third party collection requirements as mandated by law. Incumbent is responsible for the determination and timely verification of eligibility for all applicants for care. This will include access and input from various sources to make such a determination (i.e., review of military documents, Hospital Inquiry System (HINQ), Veterans Information Solution (VIS), Patient Data Exchange System (PDX), telephonic verification with VARO staff, Health Eligibility Center (HEC), or Records Processing Center in St. Louis, etc.). The process of verifying eligibility is complicated and criteria differs for each type of benefit applied for. Maintains a suspense file on all eligibility cases, which will require continual follow-up pending a decision through Regional Office or other sources until a determination is reached. Composes correspondence relative to the patient's application for care including letters advising veterans of their status (eligible or ineligible). provides guidance and advice to veterans on medical benefits and information on a wide variety of VA programs available to the patient. This requires extensive and in-depth knowledge of VA regulations and rules guiding such procedures. Interviews and inputs application information into the VISTA system and obtains all information required for patient processing (10-lOEZ, 10-lOEZR, means test information, private insurance information, etc.). Must also process the 10-lOEZ online applications. The incumbent is expected to provide exceptional customer service by exceeding the customer's expectations. The incumbent will actively listen to customers with respect and concern; the incumbent will pay attention to the details of the customer's needs and help the customer arrive at a satisfactory solution to the problem. The incumbent will be flexible, adaptive and enthusiastic to exceed the customer's needs. Work Schedule:
Monday-Friday 8:
00am-4:
30pm Compressed/Flexible:
Not Available Telework:
Not Available Virtual:
This is not a virtual position. Position Description/PD#:
Health Benefits Asst/PD11852A Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/09/2020. 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-5 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. 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. Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have . OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond . 4 years above high school You will be rated on the following Competencies for this position:
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. 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 sedentary. The employee sits comfortable to do the work assignments. At times there may be some walking, standing, bending, and carrying of light items, e.g., papers, books, files, etc. No special physical demands are required to perform the work. 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/.
Estimated Salary: $20 to $28 per hour based on qualifications.
Monday-Friday 8:
00am-4:
30pm Compressed/Flexible:
Not Available Telework:
Not Available Virtual:
This is not a virtual position. Position Description/PD#:
Health Benefits Asst/PD11852A Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/09/2020. 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-5 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. 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. Education:
Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have . OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond . 4 years above high school You will be rated on the following Competencies for this position:
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. 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 sedentary. The employee sits comfortable to do the work assignments. At times there may be some walking, standing, bending, and carrying of light items, e.g., papers, books, files, etc. No special physical demands are required to perform the work. 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/.
- Department:
0303 Miscellaneous Clerk And Assistant - Salary Range:
$34,916 to $45,393 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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