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USAJOBS · 2 months ago

Patient Services Assistant - Eligibility Clerk

Fargo, North Dakota, USA

Full-time

Onsite

Entry Level

$40K/yr - $52K/yr

1+ years exp

USAJOBS is seeking a Patient Services Assistant - Eligibility Clerk for the Fargo VA Medical Center. The role involves verifying and certifying the legal eligibility of applicants seeking medical treatment and/or benefits under the supervision of the Member Services Supervisor.

ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency

No H1B

U.S. Citizen Only

Responsibilities

Make the initial determination whether the veteran is legally eligible for dental benefits by reviewing military service records and/or letters of awards for service-connection

Investigate authorizations, orders, and/or utilizes the Computerized Patient Record System (CPRS) to review medical records, forwards for supervisory approval and submits all documents for payment utilizing appropriate control point for reference

Act as liaison between vendors and Fiscal Service for invoices pending payment

Evaluate and asses prisoner of war status, combat veteran status, financial (means test) standards, and other special eligibility criteria

Initiate computer inquiries through HINQ or VIS computer databases to determine eligibility for each application received to continue processing

Access Hospital Inquiry System (HINQ), Veterans Information Solution (VIS),Veteran Benefit Management System (VBMS), Health Eligibility Center (HEC), and Regional Office (RO) as necessary to determine Veteran eligibility for care, priority group and VA benefits that they qualify for

Maintain the HINQ Suspense File and ensure all updates are completed in VistA

Qualification

Administrative AssistanceData EntryMedical Records ManagementCustomer ServiceDocument AnalysisIntegrity/HonestyStress ToleranceAttention to DetailTeamworkDecision Making

Required

You must be a U.S. Citizen to apply for this job

To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment

Selective Service Registration is required for males born after 12/31/1959

Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required

Subject to background/security investigation

Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements

Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)

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

You may qualify based on your experience and/or education as described below: GS-05 grade level: 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

Specialized experience includes: Performing administrative assistance in support of a medical facility; Utilizing software programs to enter, retrieve and edit data; Preparing written correspondence; Maintaining files; Analyzing documents to determine medical care eligibility; Copying and scanning legal documents to update electronic records

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 successfully completed four (4) years of education above the high school level in any field which high school graduation or the equivalent is the normal prerequisite

Applicants may also combine education and experience to qualify at the GS-05 level. You must have an equivalent combination of successfully completed post-high school education (beyond the second year) and specialized experience as described above

You will be rated on the following Competencies for this position: Accountability, Attention to Detail, Customer Service, Decision Making, Flexibility, Integrity/Honesty, Interpersonal Skills, Learning, Reading Comprehension, Reasoning, Self-Management, Stress Tolerance, Teamwork