Summary
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.
This job is open to
Clarification from the agency
ALL US CITIZENS
DIRECT HIRE AUTHORITY: This position is being filled using Direct-Hire Authority (5 CFR 337.201) for this occupation.
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
Conditions of Employment
- 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
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Applicants will be referred in the order in which they were received.
Required Documents
Documents Accepted:
- Cover Letter
- DD-214/ Statement of Service
- Disability Letter (Schedule A)
- Disability Letter (VA)
- Resume
- Separation Notice (RIF)
- SF-15
- SF-50/ Notification of Personnel Action
Documents Required:
Please review the above list(s) to ensure you have included all necessary documents required for your application. Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information. Applicants will be deemed ineligible if supporting documentation is not submitted.
Veterans' Preference: Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply. Qualified veterans will, however, be given full consideration for this position.
Applications are accepted online. Applying online will allow you to review and track the status of your application.
How to Apply
All applicants are encouraged to apply online.
To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section. The complete application package must be submitted by 11:59 PM (EST) on 10/01/2024 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12556374.
1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.
2. Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the More Information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.
To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
Next steps
After the vacancy announcement closes, applicants are evaluated to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email.
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