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U.S. Department of Veterans Affairs · 1 day ago

Health Benefits Assistant

Tulsa, OK

Full-time

Onsite

Entry Level

$41K/yr - $53K/yr

1+ years exp

The U.S. Department of Veterans Affairs is seeking a Health Benefits Assistant to support the Business Office of the Eastern Oklahoma Health Care System. This role involves performing administrative duties related to Veteran benefits, including assisting with health-related benefits and ensuring proper processing of medical treatment benefits for Veterans and their beneficiaries.

GovernmentMedicalNational SecurityPublic Safety

Comp. & Benefits

Responsibilities

Performs technical activities involved with screening - processing - and assisting Veterans - non-Veterans - and beneficiaries seeking multiple medical treatment benefits

Assists MSA staff with loading VA Registry exam requests and traveling Veterans into database upon check in

Advising applicants of the health benefits to which they are legally entitled

Responding to technical questions regarding Veterans administrative rights and situational eligibility for healthcare

And providing Veterans with administrative advice and guidance

Provides information regarding benefits to Veterans and responds to complex questions involving regulations and/or beneficiary entitlement

Communicates results to patients - families - agency employees - and Veterans organizations

Provides follow up with the PCMM coordinator for assignment to the Primary Care team after initial appointment is scheduled

Works with Veterans Health Information Systems Technology enrollment software

Monitors enrolled patient database information to perform updates to health insurance data - income assessments for the Means Test and Pharmacy Co-pay Exemption programs

Facilitates receipt of all VA & Non-VA medical records to support indexing of records to records system

Ensures records are available for review upon vesting appointment

Reviews and processes VA healthcare eligibility in conjunction with Department of Defense (DoD) Sharing Agreements (TriCare & CHAMPVA) to determine eligibility for VA health care referencing multiple sources - such as the Health Eligibility Center (HEC) - VIS - and or/military discharge papers to assign a priority group to the Veteran

Reviews and processes new and recurring applications (paper - in-person - and electronic) for medical care (e.g. - Dental - Behavioral Health - Geriatrics and Extended Care - Diagnostic and Therapeutic - etc.) through applying the appropriate regulatory authority to each program

Processes re-enrollment into the system and assists Veterans in changing facilities if necessary

Qualification

Federal regulationsHealthcare system knowledgeComputer systems proficiencyData analysis skillsReport preparationAdministrative adviceCommunication skills

Required

Applicants must meet all requirements by the closing date of this announcement - 01/26/2026

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

For a GS-05 position you must have served 52 weeks at the GS-04

The grade may have been in any occupation - but must have been held in the Federal service

An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials

If the most recent SF-50 has an effective date within the past year - it may not clearly demonstrate you possess one-year time-in-grade - as required by the announcement

In this instance - you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade

Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment

You must have one year of specialized experience equivalent to at least the next lower grade GS-04 in the normal line of progression for the occupation in the organization

Examples of specialized experience would typically include - but are not limited to: Comprehensive knowledge of pertinent laws - federal regulations - polices guidelines - directives - and handbooks

Comprehensive knowledge of Healthcare System memorandums - administrative procedures and processes - standard operating procedures - internal policies - and other guidance related to such areas as eligibility for medical benefits - outpatient programs - patient scheduling - admissions and discharges - patient transfers - healthcare network capabilities for patient referrals and transfers - employee health - beneficiary travel - inpatient and outpatient statistical reporting - and others related Medical Center organization and administration

Knowledge of the Privacy Act - the Freedom of Information Act - HIPPA guidelines - and other authorities with respect to release of information and established guidelines to preserve the confidentiality of record contents

Extensive knowledge of the organizational and interdepartmental relationships of an active Medical Center to effectively relay the medical benefits package to all inquiring parties

Comprehensive knowledge and the ability to use several computer systems - and varied functions of computer spreadsheets - database computer applications - etc. to produce and maintain a wide variety of documents

Ability to participate in studies which may require statistical measurement - data analysis - and report preparation using databases and dashboards

Prepares reports as required and makes reasonable recommendations for system or process improvement

To qualify based on education for this grade level you must have four years of education beyond the high school level

Note: (TRANSCRIPTS REQUIRED)

You must have a combination of specialized experience and education beyond the high school level in excess of 60 credits