• Job Description

  Req#: 836952700
  The purpose of the position is to serve as an Advance Medical Support Assistant (AMSA) under HBU to the Health Administration Service (HAS). Incumbent of the position serves as a specialist on eligibility and enrollment issues. Incumbent provides direct administrative and technical
  assistance to the Supervisor of HBU, Medical Center Staff, Veterans, and their family members on issues related to eligibility and enrollment (provides expertise in eligibility issues to Medical Center Staff).
  
  Duties
  
  
  The incumbent is responsible for interviewing patients applying for medical benefits and managing eligibility and enrollment of Veterans into the VA health care system. Applications may be received in person, by telephone, by mail, on-line or referral from another VA. They will ensure that
  applications are processed, finical information (Means Test & Co-Pay Test) is collected, and Health Insurance Coverage is identified and collected via Insurance Capture Buffer (ICB), since insurance collections help supplement services and benefits to enrolled Veterans.
  
  Verifies eligibility/entitlement for benefits of all applicants using various methods including income assessments, military discharge documents, Veterans Information Solution (VIS), DPRIS, VBMS and SHARE applications. The process of verifying eligibility is complicated and criteria differ for
  each type of benefit applied for.
  
  Extensive knowledge of the Medical Center and policies is required to respond to inquiries from veterans, Medical Center staff and other agencies regarding applying for care, eligibility, etc.
  
  Accurately generates patient data cards for veterans applying for care using the Veterans Health Identification Card (VHIC) system.
  
  Incumbent monitors enrolled patient data base information on a regular basis (at a minimum, annually) to perform updates to health insurance data, income assessments for the Means Test and Pharmacy Co-pay Exemption programs as mandated by law.
  
  Incumbent identifies and collates health insurance information from all applicants for entry to the VES, copies or scans insurance company enrollment identification cards, researches employers as needed to obtain complete data when applicants do not have complete information.
  
  Incumbent will also assure that all new veterans to the system are registered within 7 days of receipt of their application
  
  Work Schedule: Monday- Friday 7:00am to 3:30pm or 7:30am to 4:00pm or 8:00am to 4:30pm
  Virtual: This is not a virtual position.
  Functional Statement # 91997-A
  Permanent Change of Station (PCS): Not Authorized
  Fi nancial Disclosure Report: Not required
  Recruitment Incentive: Not Authorized
  
  
  Requirements
  
  
  
  
  Qualifications
  
  
  Grandfathering Provision: May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
  
  Basic Requirements:
  • Experience and Education:
    • Experience: Six months experience of clerical, office, customer service, or other administrative work that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position; OR,
    • Education: One year above high school; OR,
    • Experience/Education Combination: Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable.
  AND
  
  In addition to meeting basic requirement listed above, applicant must possess at least one year experience at or equivalent to work at the next lower level, that provides the knowledge, skills, and abilities to perform successfully the work of the position. To qualify for the GS-6 (Advanced) grade level, you must have one year of experience equivalent to the GS-5 (Full Performance) grade level.
  
  In addition to this experience, you must demonstrate the following KSAs:
  • Ability to collaborate and communicate with a wide range of medical clinicians across multiple disciplines (e.g. medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting to ensure medical care to patients is met.
  • Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations.
  • Ability to communicate tactfully and effectively, electronically, by phone, in person], and in writing, with internal and external customers. This may include preparing reports in various formats and presenting data to various organizational levels, as well as resolving patient concerns.
  • Advanced knowledge of the technical health care process (including, but not limited to, scheduling across interdisciplinary coordinated care delivery and/or care in the community models and patient health care portals) as it relates to access to care.
  • Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care administrative functions to include, but not limited to appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc.
  • Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians.
  
  Physical requirements: The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking, standing, bending, carrying of light items such as papers, books, small parts, or driving an automobile, etc. No special physical demands are required to perform the work.

• About the company

  The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with integrating life-long healthcare services to eligible military veterans at the 1700 VA medical centers and outpatient clinics located throughout the country.

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