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!