Voucher Examiner

Summary

Jesse Brown VA Medical Center Geriatrics and Extended Care (GEC) Service program areas. The incumbent processes payments for the Community Adult Day Healthcare Program and the Community Nursing Home Program. The primary functions of this position are to authorize, and process claims and invoices for payment of services delivered to Veterans by non-VA providers and to provide support for these programs.

Duties

Examines invoices and claims for services provided to Veterans enrolled in the Community Adult Day Healthcare Program and the Community Nursing Home. Determines the proper appropriation to be charged and that expenditures made are incurred only as specifically authorized. Examines a full range of claims having a variety of complicating factors to include a multitude of per diem rates established for each individual vendor, payment authorization and batching payment requests. Resolves discrepancies and/or problems that are associated with the claim certification process and enters/submits those certified claims into a centralized automated system. Prepares correspondence to all parties involved, including documentation transmitting adverse decisions or requests for additional information. Reviews all claims to ensure necessary processing information is present or suspends/rejects claims to appropriate queue and makes individual determinations on each claim based on legal entitlement specific to circumstances involved to include if the legal entitlement is specific to Veterans enrolled in the Community Adult Day Healthcare and Community Nursing Home Programs. Examines accounts and/or resolves difficult reconciliations requiring an analysis of adjustments and corrective entries in the account. Complies and verifies the accuracy of accounting data to prepare statements, reports, and schedules. Performs ancillary preparatory components of Adult Day Healthcare and Contract Nursing Home resolution responsibilities, such as documenting and monitoring episodes of care authorized, as well as maintaining ongoing contact with vendors to assure dates of services on claims are accurate for proper payment. Work Schedule: Monday- Friday 8:00 am to 4:30pm
Telework: Available (Ad-hoc)
Compressed/Flexible: Not Available
Virtual: This is not a virtual position.
Financial Disclosure Report: Not required

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