Advanced Medical Support Assistant

4 weeks ago

Salem, United States Veterans Health Administration Full time

Summary

This position serves as an Advanced Medical Support Assistant (AMSA) in the Health Benefits/ Eligibility and Enrollment Office and is primarily responsible for determining eligibility and entitlement to VA healthcare benefits to include interviewing patients applying for medical benefits. Applications may be received in person, by telephone, mail or online. Incumbent is responsible for entering demographic data, insurance, and income information.

Duties

The incumbent is responsible for a wide rang of assignments and provides administrative support to the Enrollment Office.

This is an advanced level AMSA position. The incumbent serves as an Advanced Medical Support Assistant (AMSA) for Health Benefits and the Enrollment Office. Extensive knowledge of the medical center policies and directives is required to respond to inquiries from Veterans, staff, and other agencies regarding applying for health care, eligibility, etc.

The incumbent will be the first point of contact for complex calls. The incumbent will receive incoming calls from patients, family members, and outside agencies. They will independently use and navigate through Veterans Health Information Systems, technology architecture (VISTA) and the electronic health record (CPRS) obtaining and identifying information while determining the nature of the call. The full performance level AMSA will know how to properly document notes in the patient's electronic health record and relay messages and direct calls appropriately. The incumbent verifies eligibility and entitlement for benefits of all applicants using various methods including income assessments, military discharge documents, 1 Veterans Information Solution (VIS), Veterans Enrollment System (VES), Common Security Employee Manager (CSEM), Veterans Benefits Management System (VBMS), and other means and communication avenues to VA and external entities.

The incumbent manages catastrophic disability and hardship requests. The process of verifying eligibility is complex and criteria differ for each type of benefit applied for. The incumbent advises Veterans of their entitlement for multiple medical benefits and discusses co-payment requirements of Veterans discretionary categories. Tact, diplomacy, and privacy are required to explain complicated laws in this area.

The incumbent accurately generates patient data card requests for Veterans applying for care using the Veterans Identification Card (VIC) system, Veteran Health Identification Card (VHIC) system, and other systems as necessary. The incumbent reviews enrolled patient information to perform updates to health insurance data, income assessments, pharmacy co-pay exemptions as mandated by law.

Incumbent completes all assigned applications to ensure that Veterans are enrolled timely. The incumbent is responsible for monitoring the NEAR list and scheduling new patient appointments in accordance with VHA directives, established guidelines, and local policies.

Other duties as assigned.

Work Schedule : 7:45am- 4:30pm M-F
Telework : As determined by the agency policy.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives : Not Authorized
Permanent Change of Station (PCS): Not Authorized
Fi nancial Disclosure Report: Not required

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