NOTE: This announcement will be open for a period of 60 days. The first cut-of date for consideration will be November 14, 2019. Applications received by November 14, 2019 will receive first consideration. By law, qualified Veterans will be considered first. Additional applicants will be referred thereafter depending on remaining vacancies.
HEALTH ADMINISTRATION SERVICES (OUTPATIENT, INPATIENT, CENTRALIZED SCHEDULING UNIT, EMERGENCY ROOM, ENROLLMENT & ELIGIBILITY): Works collaboratively in an interdisciplinary coordinated care delivery model performing duties concerning operational tasks/issues, customer service etc, for the proper and timely treatment of patients. Assist with clinic access contingency plans - adjust appointment times, location or dates as needed. Validates/updates patient demographic information. Ensures all necessary health/administrative information is integrated into Computerized Patient Record System (CPRS). Collects, scans, updates health insurance information with the patient, interdisciplinary team, VA medical centers, and other agencies (e.g., assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities, facilitate/process secure messaging with the patient and team; notify patients of normal lab results; develop/manage a tracking system for follow-up care such as consults, tests, etc). Coordinates all administrative information including basic eligibility/enrollment criteria, updating/verifying demographic information, scheduling appointments, collecting insurance information, data entry, administratively managing consultation requests and the electronic waiting list, and notifying patient of his/her scheduled appointment and so forth.
TOUR OF DUTY: Varies depending on the location of the position: 7am-3:30pm; 7:30am-4pm; 8am-4:30pm; 8:30am-5pm; 9am-5:30pm; 4pm-12:30am; Subject to occasional weekends, rotations into other shifts, or late clinics.
OFFICE OF CARE COORDINATION: Receives Non-VA Care Consults through CPRS, view alerts and conducts administrative review. Enters authorizations in Fee Basis Claims Systems. Coordinates with the Veteran/Non VA provider or other VA facility to schedule appointments and enters in Appointment Management. Generates/sends Authorization and clinical documentation to the Non VA provider in advance of the appointment and records in accordance with Accounting of Disclosure policies. Obtains required clinical documentation from the Non VA Provider and scans into the patient's record and closes the Non VA Consult. Coordinates related Veteran transportation with transportation units. Runs consult tracking reports to assure timely appointment scheduling, follow up and completion of consults and so forth.
TOUR OF DUTY: 8am-4:30pmTo qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/01/2020.
I. BASIC REQUIREMENTS:
A. United States Citizenship.
B. English Language Proficiency: Must be proficient in basic written and spoken English in order to meet the requirements of this position.
C. Experience and Education:
(1) Experience - Six months experience of progressively clerical, office or other work in a health-care facility or environment that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position; or
(2) Education: One year above high school; or
(3) Experience/Education Combination: Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable.
II. GRADE REQUIREMENTS:
A. Creditable Experience:
(1) Knowledge of Current Medical Support Assistant Practices (MSA). To be creditable, experience must have demonstrated the knowledge, skills and abilities (KSAs) associated with current MSA responsibilities. Experience satisfying this requirement may be paid/non-paid employment as a MSA.
(2) Quality of Experience. Qualifying experience must be at a level comparable to MSA experience at the next lower grade level.
B. Grade Determination - GS-06 Advanced MSA: In additional to meeting the basic requirements for employment, you must have one year of specialized experience equivalent to the GS-05 level in the Federal Service and demonstrate the below Knowledge, Skills, and Abilities.
Examples of specialized experience include but is not limited to performing a variety of duties such as ensuring clinic setup is closely monitored to effectively support the needs of a clinic and making any necessary adjustments; coordinating communications during the inpatient/outpatient discharge; processing secure messaging with the patient and team; notifying patients of normal lab results; developing/managing a tracking system for follow-up care such as consults, tests, etc.; entering appropriate comments in electronic health care record; monitoring pre-appointment requirements to assure readiness for patient visit/procedure (e.g, X-ray, lab work); scheduling appointments and managing an electronic wait list to verify/validate accuracy and resolving issues; evaluating patient information and clinic schedule lists to determine whether patient is vested; educating providers about shared patients, entering/retrieving data from a Computerized Patient Record System; verifying/updating demographics and insurance information; performing eligibility, co-pays and pre authorization requirements for specific coverage; working in a patient Centralized Scheduling Unit/Call Center, Consult Team, and so forth.
Demonstrated Knowledge, Skills, and Abilities: (Applicants must address in addition to the required experience - submit your responses within your description of duties or as attachments. If you fail to respond/submit, you will be found Ineligible.)
1) Ability to collaborate, communicate, set priorities and organize the work in order to meet deadlines, ensuring compliance with established processes, policies and regulations.
2) Ability to communicate tactfully and effectively, both orally and in writing in order to meet program objectives. This may include preparing reports in various formats and presenting data to various organizational levels.
3) Advanced knowledge of the technical health care process as it relates to access to care.
4) Advanced knowledge of managing a clinic. This includes independently utilizing reference sources, decision making and empowering the team to collaborate and resolve problems within a complex systems environment.
5) Advanced knowledge of policies and procedures associated with operational activities that affect the patient flow, patient care, and the revenue process.
6) Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians.
REFERENCE: VA Handbook 5005/53 Part II Appendix G45
Physical Requirements: Work is sedentary. Sits comfortably to do the work. Some walking, standing, bending, carrying of light items such as papers, books, small parts. No special demands are required to perform the work.