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Medical Administrative Specialist

2 months ago

Detroit, Michigan, United States Veterans Affairs, Veterans Health Administration Full time
Summary Delegated full authority of the Chief and Assistant Chief of Business Practice, for administrative activities occurring on tour.

Interprets VA rules and regulations relevant to determining legal entitlement to benefits regarding hospital, nursing home or domiciliary admissions; dental treatment, fee services, and outpatient care; prosthetic appliances; both VA and non-VA patient transfers; and beneficiary travel.

Responsibilities elegated full authority of the Chief and Assistant Chief of Business Practice, for administrative activities occurring off tour.

Interprets VA rules and regulations relevant to determining legal entitlement to benefits regarding hospital, nursing home or domiciliary admissions; dental treatment, fee services, and outpatient care; prosthetic appliances; both VA and non-VA patient transfers; and beneficiary travel.

Authorized as certifying officer for documents pertaining to the administration of laws concerning VA.

Coordinates the resolution of medical-legal problems concerning the medical center and ensures that appropriate legal, regulatory and policy requirements are met.

Processes administrative issues surrounding beneficiary death, seriously ill cases, elopements, suicides, assaults, death on arrival (DOA), homicides, medical codes, medical cost recovery matters, emergency treatment required both within and outside of the medical center, and facility or community disasters, etc.

Assumes responsibility of local and civil disasters, in accordance with local disaster plan, until appropriately relieved of such responsibility by a PENTAD member.

Works collaboratively with the OIC of Police and the Nursing Supervisor for matters or urgent notification to the executive management team.

Provides administrative authority, guidance, and advice to the Medical Officer of the Day (MOD) and all other clinical staff concerning administrative matters necessary for operation of the medical center during other than normal tours.

Provides orientation and situational technical advice to physicians regarding VA policies and procedures. Assists medical center staff with medically related legal problems, including involuntary commitments and orders of protective custody.

Performs for administrative matters as the MOD does for clinical matters, working as a team to carry out top management responsibilities during other than regular working hours.

Promotes positive interactions, customer service initiatives, and harmonious working relationships among patients, public, and staff.

Directly intervenes when problem regarding patient activity occurs, advising clinical staff of appropriate administrative action, observes, evaluates, and coordinates administrative activities with all other services.

Coordinates non-routine contacts received at the medical center after regular operating hours.

Receives, responds to, or refers to appropriate personnel non-routine patient condition inquiries and other administrative inquiries from concerned veterans, families, visitors, law enforcement officials, representatives from private hospitals, veterans service organization representatives, VA Central Office, Congressional offices, military personnel, private physicians, media, and the general public.

Uses sound judgment when deciding to contact appropriate off-duty personnel for guidance or when referring non-routine inquiries to the appropriate personnel during regular operating hours.

Oversees determination of applicants' eligibility; obtaining income and insurance information for appropriate priority group applicants; counseling non-service- connected veterans to determine ability to defray costs of medical care elsewhere.

Determines extent of release of medical or social data from patients' records. Safeguards and ensures rights of patient. Functions as Patient Representative/Ombudsman during tour of duty in conjunction with other clinical staff.

Provides technical assistance to all Business Practice staff and other personnel assigned to other than normal tours of duty, such as ward clerical support, telephone operators, file room personnel, admitting/registration personnel, PSAs and firm clerks; and serves as an advisory resource.

When applicable, receives contact calls for annual and sick leave, authorized overtime, reporting on or off duty for BP personnel on assigned tour, and for non-BP personnel whose supervisory staff is not readily available; assures adequate BP coverage through notification of first-line supervisor or temporary reassignment of available personnel.


Work Schedule:
Rotating Shifts to include 8:00 am - 4:30 pm, 4:30 pm - Midnight, and Midnight - 8:00 am, Weekends and

Holidays Virtual:
This is not a virtual position

Remote:
This is not a remote position

Position Description/PD#:
Medical Administrative Specialist (AOD)/PD00191A Relocation/

Recruitment Incentives:
Not Authorized Critical Skills Incentive (CSI): Not Approved Permanent Change of Station (PCS):

Not Authorized Financial Disclosure Report:
Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job 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 Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)


Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/08/2024. 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-09 position you must have served 52 weeks at the GS-07. 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 may qualify based on your experience and/or education as described below:

Specialized Experience:

You must have one year of specialized experience equivalent to at least the next lower grade GS-07 in the normal line of progression for the occupation in the organization.

Examples of specialized experience would typically include, but are not limited to:
working knowledge of public laws, VA Policy and regulations; knowledge of health information records systems and of Privacy Act and Freedom of Information Act, as they relate to the delivery of health care services; knowledge of all computer menus relating to processing data for patient related activities and determining legal eligibility of veterans; knowledge of safety and fire prevention rules and regulations, of facility and community disaster plans and procedures of VA-DoD Contingency Plan and facility's responsibilities;

OR, Education:
Applicants may substitute education for the required experience.

To qualify based on education for this grade level you must have a master's or equivalent graduate degree; OR, 2 full years of progressively higher level graduate education leading to such a degree; OR, a related LL.B.

or J.D.;.

OR, Combination:
Applicants may also combine education and experience to qualify at this level. You must have an combination of specialized experience and education beyond two (2) full years of graduate level education. To compute the percentage of the requirements, divide your total months of experience by 12.

Then divide the total number of completed graduate semester hours (or equivalent) beyond the first year (total graduate semester hours minus 18) by 18.

Add the two percentages.

Experience 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:

Primarily sedentary in nature, work may involve much walking throughout the Health Care System, with the occasional requirements to lift or carry objects such as medical charts, office supplies, etc.

For more information on these qualification standards, please visit the United States Office of Personnel Management's website at Education A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

If you are basing your qualifications on education (or a combination of education and experience) or if the position requires a college education to qualify, you must submit a copy of your transcripts with your application.


Your official or unofficial transcript must reflect:

name of the college or university, full address of the college or university, your name, class title(s) with the number of credits earned/completed, the degree received, if applicable, and date degree conferred.

A copy of your certificate/degree or screenshot of your current classes are not a replacement of your transcript and they will not be used in the qualifying process.


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:
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:
Additional Information 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 ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. Pursuant to VHA Directive , VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.