Job Details

ID #2788804
Estado Virginia Occidental
Ciudad Clarksburg
Full-time
Salario USD TBD TBD
Fuente Veterans Affairs, Veterans Health Administration
Showed 2019-10-19
Fecha 2019-10-19
Fecha tope 2019-12-17
Categoría Etcétera
Crear un currículum vítae

Voucher Examiner

Virginia Occidental, Clarksburg 00000 Clarksburg USA

Vacancy caducado!

Voucher ExaminerDepartment of Veterans AffairsVeterans Affairs, Veterans Health AdministrationOffice of Community Care, Delivery Operations, Claims Adjudication & ReimbursementOverview

##### Open & closing dates

10/17/2019 to 11/06/2019

##### Service

Competitive

##### Pay scale & grade

GS 5 - 6

##### Salary

$33,949 to $49,200 per year

##### Appointment type

Permanent

##### Work schedule

Full-TimeLocation8 vacancies in the following location:-Clarksburg, WV 8 vacanciesRelocation expenses reimbursedNoTelework eligibleYes as determined by agency policy- DutiesSummaryThis position is located within the Department of Veterans Affairs

(VA) Chief Business Office (CBO) Purchased Care (PC), Operations

Directorate (OPS) in Denver CO. The primary functions of this

position are to authorize and process claims. Incumbent is also

responsible for the proper processing and resolution of claims

falling under the NVC Program, CHAMPVA, Spina Bifida, Foreign

Medical Program, and Children of Women Vietnam Veterans Programs,

and others.Learn more about this agencyResponsibilities

Examines vouchers, invoices, claims, and other requests for

payment of healthcare services delivered to patients and family

members;

Analyzes each voucher to determine propriety of payment;

Reviews all claims to ensure necessary processing information is

present;

Reviews claims for payment or reimbursement for medical and

ambulance service;

Examines accounts and/or resolves difficult reconciliations

requiring an analysis of adjustments and corrective entries in

the account;

Performs ancillary preparatory components of other health

insurance resolution responsibilities;

Utilizes knowledge of financial and accounting systems and

regulations, reconciliation, and Health Care Financing

Administration Common Procedural Coding System (HCPCS).

Promotion Potential: The selectee may be promoted to the full

performance level without further competition when all regulatory,

qualification, and performance requirements are met. Selection at a

lower grade level does not guarantee promotion to the full

performance level.Work Schedule: 40 hours per week, Monday- Friday 1st shift 7:00

am - 4:00 pm, 2nd Shift 4:00 pm - 12:30 am

Compressed/Flexible: Available

Telework: Yes - upon supervisory approval

Virtual: This is not a virtual position.

Position Description/PD#: Voucher Examiner/PD03365A and

PD03247A

Relocation/Recruitment Incentives: Not Authorized

Financial Disclosure Report: Not requiredTravel RequiredNot requiredSupervisory statusNoPromotion Potential6

#### Job family (Series)

0540 Voucher Examining- RequirementsConditions of Employment

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

Designated and/or random drug testing may be required

Selective Service Registration is required for males born after

12/31/1959

You may be required to serve a probationary period

Subject to background/security investigation

Selected applicants will be required to complete an online

onboarding process

QualificationsTo qualify for this position, applicants must meet all requirements

by the closing date of this announcement, 11/06/2019.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-06 position you must have served 52

weeks at the GS-05. 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.You may qualify based on your experience and/or education as

described below:Specialized Experience GS-05: 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:

- Makes determinations on health care claims based on legal

entitlement specific to the circumstances involved.

- Checks for accuracy and adequacy of documentation for customers

regarding healthcare treatment.

- Verifies claims for payments or reimbursements.

- Interprets rules, regulations, and laws regarding treatment and

eligibility.

- Enters payment information into a centralized automated system.OR,

GS-05 Applicants may substitute education for the required

experience (TRANSCRIPTS REQUIRED): You must possess Four (4) years

of education above the high school level in any field for which high

school graduation or the equivalent is the normal prerequisite. This

education must have been obtained in an accredited business,

secretarial or technical school, junior college, college or

university. One year of full-time academic study is defined as 30

semester hours, 45 quarter hours, or the equivalent in a college or

university, or at least 20 hours of classroom instruction per week

for approximately 36 weeks in a business, secretarial, or technical

school.

OR,

GS-05: Combination of Education and Experience (TRANSCRIPTS

REQUIRED): You must possess a combination of successfully

completed education and experience to meet the total experience

requirements. (i.e. 6 months of specialized experience and 3 years

of education above the high school level). NOTE: Only education

beyond the second year can be used in combination with specialized

experience to qualify for this grade.Specialized Experience GS-6: 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. In addition to all of the specialized experience cited

above for the lower grade level, specialized experience for this

GS-6 position includes, but are not limited to:

- Knowledge of financial/accounting systems,

- Reconciliation on accounts,

- Resolving issues surrounding payment and denials of healthcare

claims.

- Makes determinations on health care claims based on legal

entitlement specific to the circumstances involved.

- Checks for accuracy and adequacy of documentation for customers

regarding healthcare treatment.You will be rated on the following Competencies for this position:

- Insurance

- Technical Competence

- Technology ApplicationExperience 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. You will receive credit for

all qualifying experience, including volunteer experience.Note: A full year of work is considered to be 35-40 hours of

work per week. Part-time experience will be credited on the basis of

time actually spent in appropriate activities. Applicants wishing to

receive credit for such experience must indicate clearly the nature

of their duties and responsibilities in each position and the number

of hours a week spent in such employment.Physical Requirements: The work is primarily sedentary with long

periods of sitting at a desk, working with computers daily. Some

work may require walking in offices and similar areas for meetings.

Work may also require walking and standing in conjunction with

travel to and attendance at meetings and conferences away from the

worksite. The work does not require any special physical effort.For more information on these qualification standards, please visit

the United States Office of Personnel Management's website at

https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.EducationA transcript must be submitted with your application if you are

basing all or part of your qualifications on education.Note: 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. You can verify your education here:

http://ope.ed.gov/accreditation/. 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. For further information, visit:

http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.Additional informationVA 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) provide 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 view the following link for

information regarding an Alternate Application.How You Will Be EvaluatedYou 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.Background checks and security clearanceSecurity clearanceNot RequiredDrug test requiredNoPosition sensitivity and riskNon-sensitive (NS)/Low RiskTrust determination processSuitability/Fitness- Required DocumentsTo apply for this position, you must provide a complete Application

Package which includes:

Resume

SF-50/ Notification of Personnel Action

The following documents are accepted, and may be required if

applicable to your eligibility and/or qualifications for this

position. Please use this checklist to make sure you have included

other documents required for your application, such as a copy of

your transcript (if using education to qualify), SF-50's

(current/former Federal employees), documentation to support

Veterans Preference claims, or ICTAP/CTAP documentation (for

displaced Federal employees). You will not be contacted for

additional information.

- Cover Letter

- DD-214/ Statement of Service

- Disability Letter (Schedule A)

- Disability Letter (VA)

- OF-306

- Performance Appraisal

- Resume

- Separation Notice (RIF)

- SF-15

- SF-50/ Notification of Personnel Action

- TranscriptSF-50, Notification of Personnel Action (if applicable for Time in

Grade and/or Eligibility):

- Most recent SF-50 if you are a current or former Federal

employee

- An SF-50 showing 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

- Award 50's do not provide sufficient information and will not be

accepted for the purpose of verifying time-in-grade.

- Examples of appropriate SF-50's include:

- Within grade increases at the highest grade held; or

- Promotions with an effective date more than one year old; or

- SF-50's at the highest grade held with an effective date

more than one year old.Veterans' Preference: When applying for Federal Jobs, eligible

Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or

for Sole Survivor Preference (SSP) in the questionnaire. You must

provide a legible copy of your DD214(s) which shows dates and

character of service (honorable, general, etc.). If you are

currently serving on active duty and expect to be released or

discharged within 120 days you must submit documentation related to

your active duty service which reflects the dates of service,

character of service (honorable, general, etc.), and dates of

impending separation. Additionally, disabled veterans and others

eligible for 10-point preference (such as widows or mothers of

eligible Veterans) must also submit an SF-15 "Application for 10

Point Veteran Preference" with required proof as stated on the form.

Documentation is required to award preference. For more

information on Veterans' Preference, please visit

http://www.fedshirevets.gov/job/vetpref/index.aspx.If you are relying on your education to meet qualification requirements:Education must be accredited by an accrediting institution

recognized by the U.S. Department of Education in order for it to be

credited towards qualifications. Therefore, provide only the

attendance and/or degrees from schools accredited by accrediting

institutions recognized by the U.S. Department of Education.Failure to provide all of the required information as stated in this

vacancy announcement may result in an ineligible rating or may

affect the overall rating.- BenefitsA 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. Learn more about federal

benefits.Review our benefitsEligibility 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.- How to ApplyAll 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

11/06/2019 to receive consideration. To preview the questionnaire

click https://apply.usastaffing.gov/ViewQuestionnaire/10626918.

To begin, click Apply Online to create a USA JOBS account or

log in to your existing account. Follow the prompts to select

your USA JOBS resume and/or other supporting documents and

complete the occupational questionnaire.

Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and

appropriate documentation is submitted prior to the closing date.

To verify your application is complete, log into your USA JOBS

account, https://my.usajobs.gov/Account/Login, select the

Application Status link and then select the more information link

for this position. The Application page will display the status of

your application, the documentation received and processed, and any

correspondence the agency has sent related to this application. Your

uploaded documents may take several hours to clear the virus scan

process. To return to an incomplete application, log into your USA

JOBS account and click Update Application in the vacancy

announcement. You must re-select your resume and/or other documents

from your USA JOBS account or your application will be incomplete.NOTE: Participation in the seasonal influenza program is a

condition of employment and a requirement for all Department of

Veterans Affairs Health Care Personnel (HCP). HCP are individuals

who, during the influenza season, work in VHA locations where

patients receive care or who come into contact with VA patients as

part of their duties. VHA locations include, but are not limited to,

VA hospitals and associated clinics, community living centers

(CLCs), community-based outpatient clinics (CBOCs), domiciliary

units, Vet centers and VA-leased facilities. HCP include all VA

licensed and unlicensed, clinical and administrative, paid and

unpaid, full- and part-time employees, intermittent employees, fee

basis employees, VA contractors, students, researchers, volunteers,

and trainees who work at these facilities. HCP that are unable to

receive or otherwise decline a flu shot will be expected to wear a

face mask throughout the influenza season.Agency contact informationMegan BurkePhone(785) [email protected] OCC Purchased Care

3773 Cherry Creek North Drive

Denver, CO 80209

USLearn more about this agencyNext stepsOnce 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.- Fair & TransparentThe Federal hiring process is setup to be fair and transparent.

Please read the following guidance.Equal Employment Opportunity PolicyThe United States Government does not discriminate in employment on

the basis of race, color, religion, sex (including pregnancy and

gender identity), national origin, political affiliation, sexual

orientation, marital status, disability, genetic information, age,

membership in an employee organization, retaliation, parental

status, military service, or other non-merit factor.

Equal Employment Opportunity (EEO) for federal employees & job

applicants

Reasonable Accommodation PolicyFederal agencies must provide reasonable accommodation to applicants

with disabilities where appropriate. Applicants requiring reasonable

accommodation for any part of the application process should follow

the instructions in the job opportunity announcement. For any part

of the remaining hiring process, applicants should contact the

hiring agency directly. Determinations on requests for reasonable

accommodation will be made on a case-by-case basis.A reasonable accommodation is any change to a job, the work

environment, or the way things are usually done that enables an

individual with a disability to apply for a job, perform job duties

or receive equal access to job benefits.Under the Rehabilitation Act of 1973, federal agencies must provide

reasonable accommodations when:

An applicant with a disability needs an accommodation to have an

equal opportunity to apply for a job.

An employee with a disability needs an accommodation to perform

the essential job duties or to gain access to the workplace.

An employee with a disability needs an accommodation to receive

equal access to benefits, such as details, training, and

office-sponsored events.

You can request a reasonable accommodation at any time during the

application or hiring process or while on the job. Requests are

considered on a case-by-case basis.Learn more about disability employment and reasonable accommodations

or how to contact an agency.Legal and regulatory guidance

Financial suitability

Social security number request

Privacy Act

Signature and false statements

Selective Service

New employee probationary period

This job originated on www.usajobs.gov. For the full announcement and to

apply, visit www.usajobs.gov/GetJob/ViewDetails/549051900. Only resumes

submitted according to the instructions on the job announcement listed

at www.usajobs.gov will be considered.

Vacancy caducado!

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