This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/job/613942300. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.
The primary function of this position is to examine and process healthcare claims, delivered to eligible beneficiaries by non-VA providers, for adjudication including determining and verifying entitlement to benefits, verifying post-entitlement actions regarding beneficiaries, and answering inquiries about benefits or procedures for filing claims.
09/14/2021 to 10/04/2021
$43,101 - $56,030 per year
GS 6
1 vacancy in the following location:
Yes—as determined by the agency policy.
Not required
No
Permanent
Full-time
Competitive
None
No
No
CBZY-11226349-21-RMJ
613942300
Current federal employees of this agency.
Federal employees who meet the definition of a "surplus" or "displaced" employee.
Who May Apply: Current Federal Employee's of the Veterans Family Member Program (VFMP) department within Delivery Operations (DO) and CTAP Eligibles. If you are not currently working for VFMP or are not a CTAP eligible and you apply, you will be rated ineligible and Out of the Area of Consideration (IAOC), and you will not be further considered for this position.
Major responsibilities include: Creates and researches accounting records to verify cost data and availability of funds; Examines accounts or resolve difficult reconciliations requiring a detailed analysis of adjustments and corrective entries in the beneficiaries' account; Trace transactions entered and prepare worksheets to reflect the source of discrepancies, corrective action required to bring billing discrepancies into agreement, prove the accuracy of discrepant data, recommend actions to prevent recurrence of similar discrepancies; Performs ancillary preparatory components of Other Health Insurance resolution responsibilities, such as manually calculating and pro-rating proper distribution of OHI payments for specific dates of services on claims for accurate payment; Annotates and distributes rejected code sheets to the technician for correction; Prepares correspondence to all parties involved, including letters transmitting adverse decisions or requests for additional information to include detailed written request to beneficiaries that are not versed in medical billing terminology, forms or SB processing requirements; Determine missing requirements and reconstruct incomplete files to allow completion of claim processing and construct letters to providers and beneficiaries; and more.
Work Schedule: An eight hour shift between 6am-4:30pm MST, based on organizational needs
Telework: Available
Virtual: This is not a virtual position.
Position Description/PD#: Voucher Examiner/PD23533A
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not approved
PCS Appraised Value Offer (AVO): Not approved
Financial Disclosure Report: Not required
There is no educational substitution at this grade level.
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.
The Career Transition Assistance Plan (CTAP) provides 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, and who are proficient in most of the required competencies of the job. Information about CTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/.
Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This job opportunity announcement may be used to fill additional vacancies.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document.
If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.
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.
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.
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.
Narrative responses are not required at this time. If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview.Your resume and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment.
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.
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.
As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.
To apply for this position, you must provide a complete Application Package which includes:
All applicants are encouraged to apply online. To apply for this position, you must complete the questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 10/04/2021 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11226349.
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications 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. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
To apply for this position, you must provide a complete Application Package which includes:
All applicants are encouraged to apply online. To apply for this position, you must complete the questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 10/04/2021 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11226349.
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications 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. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/job/613942300. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.
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OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?