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USAJOBS · 6 months ago

Program Support Assistant (Enrollment Eligibility)

Buffalo, New York, USA

Full-time

Onsite

Entry Level

$42K/yr - $61K/yr

1+ years exp

USAJOBS is seeking a Program Support Assistant for the Buffalo location in the Service Center within the Business Office. This position performs a broad range of complex administrative activities in support of access to healthcare-related benefits, including enrollment, eligibility determination, and travel services.

ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency

No H1B

Security Clearance Required

U.S. Citizen Only

Responsibilities

Advises applicants of the health care benefits they are legally entitled to in person and over the phone, initiates administrative processes for establishing care, adjudicates eligibility when discrepancies exist, and notifies appropriate healthcare personnel accordingly

Responsible for all administrative functions related to the Decedent Affairs program including details of patient death cases occurring within the Medical Center

Serves as a liaison between Medical Center staff, next of kin, organ/body donation recovery units and funeral directors

Demonstrates working knowledge and technical proficiency in Beneficiary Travel program administration using eligibility criteria and regulatory authorities to appropriately administer program benefits to eligible patients and caretakers

Prepares and processes claims for travel reimbursement, authors vouchers to reimburse travel cost to eligible beneficiaries and communicates eligibility criteria to the patient

Perform administrative responsibilities in management of Hoptel services

Ensure guest meet eligibility requirements and are able to independently function in the Hoptel environment according to orders/Hoptel notes

Will be responsible for monitoring and processing admissions and transfer of inpatients from clinics and the Emergency Room accurately and in a timely manner

Is required to determine eligibility for inpatient status, including medical, surgical, behavioral health, domiciliary, and long term care and alerting management/admitting provider regarding ineligible patients submitted for admission

Qualification

Administrative supportCustomer serviceEligibility determinationComputer proficiencyClaims processingAnalytical skillsCommunication skillsTeam collaboration

Required

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. Acceptable form(s) of identification will be required to complete pre-employment requirements

Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment

One year of specialized experience (equivalent to the GS-04 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: Responsible for providing clerical, technical, or customer support; Receiving and referring phone calls; Communicating and treating customers in a courteous, tactful and respectful manner while providing consistent information according to established policies and procedures; and Using computer programs to prepare correspondence and manage documents

Applicants may substitute education for the experience required for the GS-05 level. To qualify based on education for this grade level you must have four (4) years above high school

Applicants may also have a combination of education and experience to qualify at the GS-05 level. To calculate, first identify the percentage of required education you have earned (when substituting, you cannot use the first 60 semester hours that you earned). Then identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify at the GS-05

A transcript must be submitted with your application if you are basing all or part of your qualifications on education

You must have one year of specialized experience equivalent to at least the next lower grade GS-05 in the normal line of progression for the occupation in the organization

Specialized experience includes: Ability to analyze, evaluate, and provide recommendations on administrative issues; Ability to apply eligibility principles to gather information, determine entitlement, process applications and claims, and coordinate benefit needs; Ability to monitor, track, audit, and implement corrective actions across all managed programs; Skill in operating multiple computer systems and applications to accurately enter or extract information; Ability to manage funds in regard to billing and travel; Administrative support such as preparing responses to correspondence, scheduling appointments and meetings, tracking time and attendance, and generating reports

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

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

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

Documents Required: active non-restricted driver's license, Resume

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