Patient Services Assistant
3 weeks ago
The incumbent is responsible for verifying and certifying the legal eligibility of applicants seeking medical treatment and/or benefits.
DIRECT HIRE AUTHORITY: This position is being filled using Direct-Hire Authority (5 CFR 337.201) for this occupation.
Duties
Duties include, but are not limited to:
- 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 Hospital Inquiry System (HINQ) or Veterans Information Solution (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 Hospital Inquiry System (HINQ) Suspense File and ensure all updates are completed.
Work Schedule: Monday - Friday, 8:00am - 4:30pm
Position Description Title/PD#: Patient Services Assistant/PD40262A
Relocation/Recruitment Incentives: Not Authorized
Critical Skills Incentive (CSI): Not Approved
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Bargaining Unit: Yes, AFGE 1272
Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.
Work Environment: The incumbent could possibly be exposed to communicable diseases, possible physical abuse is exposed to an emotionally disturbed patient or distraught visitors because of the type of patients. Work is performed in an office type setting.
The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.
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